2 Web Questionnaire

Generic Clearance for Internet Nonprobability Panel Pretesting

January Draft Tracking Study Questionnaire 12-09-2019 WEB

2020 Census Tracking Survey

OMB: 0607-0978

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TEAM Y&R AND CENSUS

2020 CENSUS ATTITUDES SURVEY

WEB QUESTIONNAIRE

JANUARY FIELDING

DECEMBER 9, 2019

PROGRAMMING NOTES:

  • 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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ASK ALL:

SEX. Are you… CBAMS


      1. Male

      2. Female


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


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ASK ALL:

HISPANIC. Are you of Hispanic, Latino, or Spanish origin? ACS p. 285 modified for web


      1. Yes, Hispanic, Latino, or Spanish origin

      2. 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


      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


Logic:

  • Multiple responses permitted

  • Do NOT rotate answer choices


/* END PAGE */


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ASK ALL:

EDUCATION. What is the highest degree or level of school you have completed? 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)


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


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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ASK ALL:

AWARENESS_B. 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? GALLUP 2010 with intro from Gallup 2012-2018 modified for web


      1. A great deal

      2. Some

      3. A little

      4. 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.


/* END PAGE */



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ASK ALL:

INTENT_B [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?

      1. Definitely will

      2. Probably will

      3. Might or might not

      4. Probably will not

      5. 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.


/* END PAGE */


/* START PAGE */


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. Equally likely to fill out on Internet and paper


Logic:

  • Only one response permitted

  • Do NOT rotate response options


/* END PAGE */


/* 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


      1. A great deal

      2. Some

      3. A little

      4. 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.


/* END PAGE */


/* START PAGE */


ASK ALL:

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


      1. Extremely likely

      2. Very likely

      3. Somewhat likely

      4. Not too likely

      5. 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.


/* END PAGE */


/* END SERIES */



/* START PAGE */ /* RANDOM ROTATE SERIES */


ASK ALL:

Do you think the 2020 Census questionnaire will or will not ask the following:


      1. Yes, will ask

      2. No, will not ask

  1. Don’t know


CIT_AWARE. Whether or not each person living in your household is a US citizen?

ADD_CE_Q1. The highest education level of each person living in your household?

ADD_CE_Q2. The social security number of each person living in your household?

ADD_CE_Q3. The date of birth of each person living in your household?


Logic:

  • Show as a grid

  • Do NOT rotate response options

  • Only one response permitted per question


/* END SERIES */ /* END PAGE */


/* START PAGE */


ASK ALL FROM JANUARY 6-13 AND MARCH 30-APRIL 5:

ADD_CE_Q4. The 2020 census will ask how many people live or stay in your home. If there was a child 4 years old or younger staying in your home most of the time, would you include this child on your census form, would you not include this child, or are you unsure?


      1. Yes, I would include this child

      2. No, I would not include this child

      3. I am not sure if I would include this child


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.


/* END PAGE */


/* START PAGE */


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, have not heard or seen this message

  1. 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.


/* END PAGE */


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?

      1. Yes, have heard or read

      2. No, have not heard or read

  1. 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, or have you not heard or read that?

      1. Yes, have heard or read

      2. No, have not heard or read

  1. 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.


/* END PAGE */


/* RANDOM ROTATE SERIES (Without_doc and Concern Battery) */


/* START PAGE */


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


      1. Extremely likely

      2. Very likely

      3. Somewhat likely

      4. Not too likely

      5. 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.


/* END PAGE */


/* RANDOM ROTATE SERIES (Concern Battery)*/


/* START PAGE */


ASK ALL:

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


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. 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.


/* END PAGE */


/* START PAGE */


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


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. 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.


/* END PAGE */


/* START PAGE */


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


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. 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.


/* END PAGE */


/* START PAGE */


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


      1. Extremely concerned

      2. Very concerned

      3. Somewhat concerned

      4. Not too concerned

      5. 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.


/* END PAGE */


/* END SERIES (Concern Battery)*/


/* END SERIES (Without_doc and Concern Battery)*/


/* START PAGE */


ASK ALL:

USE_FED_STATS_B 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?


      1. Yes

      2. 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


      1. Tend to trust

      2. 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.


/* END PAGE */


/* START PAGE */


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

      1. Yes

      2. No


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices



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


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices



/* END PAGE */



/* START PAGE */


ACS_EMPLOY1. LAST WEEK, did you work for pay at a job (or business)?


      1. Yes

      2. No—Did not work (or retired)


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


ASK THOSE WHO DID NOT WORK LAST WEEK (ACS_EMPLOY1=2):

ACS_EMPLOY2. LAST WEEK, did you do ANY work for pay, even for as little as one hour?


      1. Yes

      2. No


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


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


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


      1. Yes

      2. No


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


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


      1. Very well

      2. Well

      3. Not well

      4. Not at all


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


Country_birth. Were you born in the United States, in a U.S. territory, or in another country?

      1. United States

      2. Puerto Rico or another U.S. territory (including Guam, the U.S. Virgin Islands, American Samoa, or Northern Marianas)

      3. Another country


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


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?]


/* END PAGE */


/* START PAGE */


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?]


/* END PAGE */


/* START PAGE */


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


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


ASK ALL:

OWN_RENT. Is your house, apartment, or mobile home…


      1. Owned by you or someone in the household

      2. Rented

      3. 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


      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


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */


/* START PAGE */


ASK ALL:

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


      1. Lesbian or gay

      2. Straight, that is not lesbian or gay

      3. Bisexual

      4. Something else, please specify [SPECIFY]


Logic:

  • Only one response permitted

  • Do NOT rotate answer choices


/* END PAGE */

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