Form 1 Revised Phone Questionnaire

Generic Clearance for Internet Nonprobability Panel Pretesting

October Draft Tracking Study Questionnaire 09-26-2019 PHONE

2020 Census Tracking Survey Field Test Amendment

OMB: 0607-0978

Document [docx]
Download: docx | pdf

TEAM Y&R AND CENSUS

2020 CENSUS ATTITUDES SURVEY

PHONE QUESTIONNAIRE

OCTOBER FIELDING


September 26, 2019


LANDLINE INTRO:

Hello, I am _____ calling on behalf of PSB Research. We are conducting a telephone opinion survey about some important issues facing our country today. This is not a sales call. I’d like to ask a few questions of the adult in your household, age 18 or older, who has the next birthday. Would that person be available?

[IF R NOT AVAILABLE: Thank you. We will try another time…]

[IF R IS HANDED THE PHONE: Hello, I am _____ calling on behalf of PSB Research. We are conducting a telephone opinion survey about some important issues facing our country today. Your information will not be made available in any way that would personally identify you.]

[IF R ANSWERED PHONE: Thank you, your information will not be made available in any way that would personally identify you.] GO TO MAIN INTERVIEW


CELL PHONE INTRO:

Hello, I am _____ calling on behalf of PSB Research. We are conducting a telephone opinion survey about some important issues facing our country today. This is not a sales call, and your information will not be made available in any way that would personally identify you. [IF R SAYS DRIVING/UNABLE TO TAKE CALL: Thank you. We will try you another time…]


VOICE MAIL MESSAGE (LEAVE ONLY ONCE -- THE FIRST TIME A CALL GOES TO VOICEMAIL): Hello. I am ____ calling on behalf of PSB Research. We are conducting a national opinion survey. This is NOT a sales call. We will try to reach you again. Thank you.


SCREENING INTERVIEW:

S1. Are you under 18 years old, OR are you 18 or older?


  1. Under 18

  2. 18 or older

  1. VOL: Don’t know

  2. VOL: Refused


IF S1=2, CONTINUE WITH MAIN INTERVIEW


IF S1=1, 98, 99, THANK AND TERMINATE: This survey is limited to adults age 18 and over. I won’t take any more of your time…


READ TO ALL CELL PHONE

INTRODUCTION TO MAIN INTERVIEW: If you are now driving a car or doing any activity requiring your full attention, I need to call you back later. The first question is…




INTERVIEWER:

IF R SAYS IT IS NOT A GOOD TIME, TRY TO ARRANGE A TIME TO CALL BACK.


MAIN INTERVIEW



ASK ALL:

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 around April 1st, 2020. How much have you seen or heard recently - within the last week or so - about the 2020 Census? Would you say a great deal, some, a little, or nothing at all? GALLUP 2010 with intro from Gallup 2012-2018


      1. A great deal

      2. Some

      3. A little

      4. Nothing at all

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

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? [READ]

      1. Definitely will

      2. Probably will

      3. Might or might not

      4. Probably will not

      5. Definitely will not

      1. VOL: Don’t know

      2. VOL: Refused


ASK IF AT ALL LIKELY (IntentB = 1, 2, 3, 4):

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


      1. Internet

      2. Paper form

      3. VOL: By talking to an interviewer over the phone

      4. VOL: Equally likely to fill out on Internet and paper

      1. VOL: Don’t know

      2. VOL: Refused




/* RANDOM ROTATE SERIES */


ASK ALL:

Personally_counted. How much, if at all, do you think it matters if you personally are counted in the 2020 Census? [READ] CBAMS modified response scale to match awareness


      1. A great deal

      2. Some

      3. A little

      4. Not at all

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Encourage. How likely are you to encourage someone living in another household to fill out the 2020 Census? [READ] CBAMS Adapted


      1. Extremely likely

      2. Very likely

      3. Somewhat likely

      4. Not too likely

      5. Not at all likely

  1. VOL: Don’t know

  2. VOL: Refused


/* END SERIES */


ASK ALL:

Cit_aware. Do you think the 2020 Census questionnaire will or will not ask which people living in your household are U.S. citizens?

      1. Will ask that question

      2. Will not ask that question

  1. VOL: Don’t know

  2. VOL: Refused


ASK ALL:

Msg_aware1. Have you heard or seen the message “Shape your future. Start here.” about the 2020 Census, or have you not heard or seen that?

      1. Yes, have heard or seen this message

      2. No, not heard or seen this message

  1. VOL: Don’t know

  2. VOL: Refused






ASK ALL:

Msg_aware2. Have you heard or read that it’s important everyone is counted in the census, or have you not heard or read that? [READ]

      1. Yes, have heard or read

      2. No, not heard or read

  1. VOL: Don’t know

  2. VOL: Refused



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, or have you not heard or read that? [READ]

      1. Yes, have heard or read

      2. No, not heard or read

  1. VOL: Don’t know

  2. VOL: Refused


/* RANDOM ROTATE SERIES (Without_doc and CONCERN BATTERY)*/


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? [READ] CBAMS modified


      1. Extremely likely

      2. Very likely

      3. Somewhat likely

      4. Not too likely

      5. Not at all likely

      1. VOL: Don’t know

      2. VOL: Refused



/* RANDOM ROTATE CONCERN BATTERY SERIES*/


ASK ALL:

Confidentiality. How concerned are you, if at all, that the Census Bureau will not keep answers to the 2020 Census confidential? [READ] CBAMS


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. Not at all concerned

      1. VOL: Don’t know

      2. VOL: Refused


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? [READ] CBAMS


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. Not at all concerned

      1. VOL: Don’t know

      2. VOL: Refused


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? [READ] CBAMS


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. Not at all concerned

      1. VOL: Don’t know

      2. VOL: Refused



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? [READ] New


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. Not at all concerned

      1. VOL: Don’t know

      2. VOL: Refused


/* END CONCERN BATTERY SERIES */


/* END SERIES (Without_doc and CONCERN BATTERY) */








ASK ALL

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? Modified Gallup trend item


      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused


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


      1. Tend to trust

      2. Tend not to trust

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Now, just a few questions for statistical purposes only.


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

      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

NHANES_blood. During the past 12 months, that is, since [current month] [current year - 1], have you donated blood? NHANES

      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused




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

      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

NHIS_health. Would you say your health in general is excellent, very good, good, fair, or poor? NHIS

      1. Excellent

      2. Very good

      3. Good

      4. Fair

      5. Poor

      1. VOL: Don’t know

      2. VOL: Refused


/*RANDOM ROTATE SERIES*/?


CIVIC1. How would you rate economic conditions in this country today -- as excellent, good, only fair or poor?

  1. Excellent

  2. Good

  3. Only fair

  4. Poor

  1. VOL: Don’t know

  2. VOL: Refused



CIVIC2. Thinking about the job situation in America today, would you say that it is a good time or a bad time to find a quality job?

  1. Good time

  2. Bad time

  1. VOL: Don’t know

  2. VOL: Refused


CIVIC3. Thinking about the way things are going in the country today, do you think things are generally going in the [RANDOMIZE: (right direction) or the (wrong direction)]?

[SHOW RESPONSE OPTIONS 1 AND 2 IN SAME ORDER AS STEM]

  1. Right direction

  2. Wrong direction

  1. VOL: Don’t know

  2. VOL: Refused


CIVIC4. On the whole, would you say you are satisfied or dissatisfied with the way the nation is being governed?

  1. Satisfied

  2. Dissatisfied

  1. VOL: Don’t know

  2. VOL: Refused


CIVIC5. Do you believe that there are two sides to every question and try to look at them both?

  1. Strongly agree

  2. Agree

  3. Neutral

  4. Disagree

  5. Strongly disagree

  1. VOL: Don’t know

  2. VOL: Refused



CIVIC6. Do other people’s misfortunes usually disturb you a great deal?

  1. Strongly agree

  2. Agree

  3. Neutral

  4. Disagree

  5. Strongly disagree

  1. VOL: Don’t know

  2. VOL: Refused


CIVIC7. Aside from weddings and funerals, how often do you attend religious services... more than once a week, once a week, once or twice a month, a few times a year, seldom, or never?

  1. More than once a week

  2. Once a week

  3. Once or twice a month

  4. A few times a year

  5. Seldom

  6. Never

  1. VOL: Don’t know

  2. VOL: Refused


CIVIC8. Please tell me whether or not in the last 12 months you have contacted or visited a public official-at any level of government-to express your opinion?

  1. Yes

  2. No

  1. VOL: Don’t know

  2. VOL: Refused


/*END SERIES*/


ASK ALL:

Age. What is your age? Pew


________ years

      1. 97 or older

      2. VOL: Don’t Know

      3. VOL: Refused


Interviewer code for all:

Sex. [ENTER RESPONDENT'S SEX:] Pew


      1. Male

      2. Female


ASK ALL:

Hisp. Are you of Hispanic, Latino, or Spanish origin? [READ] ACS p. 285


      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused




ASK ALL:

Race. I'm going to read a list of race categories. You may choose one or more races. Are you White; Black or African American; American Indian or Alaska Native; Asian; Native Hawaiian or Other Pacific Islander; or Some other race? ACS p. 290



[INTERVIEWER NOTE: For this survey, Hispanic origin is not a race.]


      1. White

      2. Black or African American

      3. American Indian or Alaska Native

      4. Asian

      5. Native Hawaiian or Other Pacific Islander

      6. Some other race

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Education. What is the highest degree or level of school you have completed? [READ] CBAMS


      1. No high school

      2. Some high school

      3. High school graduate or equivalent (for example GED)

      4. Some college, but degree not received or is in progress

      5. Associate degree (for example AA, AS)

      6. Bachelor’s degree (for example BA, BS, AB)

      7. Graduate degree (for example master’s, professional, doctorate)

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Marital_status. Are you married, widowed, divorced, separated, or never married? [ACS p. 477]


      1. Now married

      2. Widowed

      3. Divorced

      4. Separated

      5. Never married

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Lang_Eng. Do you speak a language other than English at home? ACS p. 449


      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused


ASK IF Lang_Eng = 1:

Lang_spoken. What is this language? ACS p. 450


______ Enter response

      1. VOL: Don’t know

      2. VOL: Refused


ASK IF Lang_Eng = 1:

Eng_well. How well do you speak English - very well, well, not well, or not at all? ACS p. 451


      1. Very well

      2. Well

      3. Not well

      4. Not at all

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Country_birth. Were you born in the United States, on the island of Puerto Rico, or in another country?


      1. United States

      2. Puerto Rico

      3. Another country

      1. VOL: Don’t know

      2. VOL: Refused




ASK ALL:

HH_size. Including yourself, how many people live or stay in your household?


INTERVIEWER NOTE: HOUSEHOLD MEMBERS INCLUDE PEOPLE TEMPORARILY STAYING AND THOSE WHO THINK OF THIS HOUSEHOLD AS THEIR PRIMARY PLACE OF RESIDENCE, INCLUDING THOSE WHO ARE TEMPORARILY AWAY ON BUSINESS, VACATION, IN A HOSPITAL, OR AWAY AT SCHOOL. THIS INCLUDES INFANTS, CHILDREN, AND ADULTS. Pew


______ Enter number 1-7

      1. 8 or more

      1. VOL: Don’t know

      2. VOL: Refused


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 1-7

      1. 8 or more

      1. VOL: Don’t know

      2. VOL: Refused


ASK IF HH_size>HH_adult.

Young_child. Are there any children 4 years old or younger (including babies) currently living in your household? CBAMS


      1. Yes

      2. No

      1. VOL: Don’t know

      2. VOL: Refused




ASK ALL LANDLINE SAMPLE:

Indv_cell. Now thinking about your telephone use… Do you have a working cell phone? Pew


      1. Yes, have cell phone

      2. No, do not

      1. VOL: Don’t know

      2. VOL: Refused


ASK IF NO CELL PHONE AND MULTI-PERSON HOUSEHOLD (Indv_cell =2, 98, 99 AND HH_size>1):

HH_cell. Does anyone in your household have a working cell phone? Pew


      1. Yes, someone in household has cell phone

      2. No

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL CELL PHONE SAMPLE:

Landline. Now thinking about your telephone use… Is there at least one telephone INSIDE your home that is currently working and is not a cell phone? Pew


      1. Yes, home telephone

      2. No, home telephone

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Own_rent. Is your house, apartment, or mobile home…[READ] CBAMS modified to include “occupied without payment of rent” in the question stem


      1. Owned by you or someone in this household

      2. Rented

      3. Occupied without payment of rent

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

Internet. About how often do you use the internet? [READ] CBAMS


      1. Almost constantly

      2. Several times a day

      3. About once a day

      4. Several times a week

      5. Once a week

      6. Less than once a week

      7. Never

      1. VOL: Don’t know

      2. VOL: Refused




ASK ALL:

LGB. Which of the following best represents how you think of yourself? [READ] CBAMS


      1. Lesbian or gay

      2. Straight, that is not lesbian or gay

      3. Bisexual

      4. Something else, please specify [SPECIFY]

      1. VOL: Don’t know

      2. VOL: Refused


ASK ALL:

ZIP. May I please have your ZIP code? Gallup 2010


______Enter 5 digit ZIP code

      1. VOL: Don’t know

      2. VOL: Refused



[PROGRAMMING NOTE: CODE CENSUS REGION AND DENSITY FROM ZIP]

28


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKyley McGeeney
File Modified0000-00-00
File Created2021-01-15

© 2024 OMB.report | Privacy Policy