QID Telephone Quality Control Reinterview Form

Agricultural Surveys Program

0213 - Quality control reinterview for field enumeration

Agricultural Surveys Program

OMB: 0535-0213

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OMB No. 0535-0213 Approval Expires: 06/30/2017




NATIONAL

AGRICULTURAL

STATISTICS

SERVICE






TELEPHONE Quality control REINTERVIEw Form

Shape1

Supervisor: __________________________________ Callback Date: ___________________________________

Survey Name: ________________________________ Farm, Ranch, or

Survey Month : _____________Year: _____________ Operation Name: _________________________________

State: ______________________________________ Operator’s Name:_________________________________

ID/POID: ___________________________________ Address:_______________________________________

Enumerator: _________________________________ _______________________________________

Interview Date: _______________________________ _______________________________________

Telephone:_____________________________________

Survey Respondent Name: _____________________ Current Respondent Name: ________________________

(Check one) (Check one)

Shape3 Shape2 Operator/Manager Operator/Manager

Shape5 Shape4 Spouse Spouse

Shape7 Shape6 Accountant/Bookeeper Accountant/Bookeeper

Shape9 Shape8 Partner Partner

Shape11 Shape10 Other Other



INTRODUCTION: [Introduce yourself and ask for the survey respondent.]



1. Recently, you should have been contacted by one of our enumerators, Mr./Mrs. _________________ for the purpose of

obtaining information about your farming or ranching operation for our _________________________Survey. Do you

recall this interview?


Shape12 Yes – [Go to item 2]

Shape13 No – [Conclude interview; Go to Field Supervisor Instruction]

Shape14 Don’t Remember – [Conclude interview; Go to Field Supervisor Instruction]




2. For quality control purposes, I would like to ask you a few brief questions to verify the interview with our enumerator.

Your response is voluntary and not required by law, but your cooperation is greatly appreciated. Did the Enumerator

conducting the interview ask you to verify the spelling of your name, address, and the operation name?


Shape15 Yes

Shape16 No

Shape17 Don’t Remember

Minutes



3. Approximately how long did the interview take? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Did the Enumerator conduct the interview in a knowledgeable and professional manner?


Shape18 Yes

Shape19 No – Explain: ____________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________


5. Did the Enumerator conduct the interview in person or by phone?


Shape20 In Person – [Continue]

Shape21 Phone – [Go to item 6]


  1. Did the Enumerator use a tablet/ laptop or a paper questionnaire to collect the information?


Shape22 Tablet/laptop – [Continue]

Shape23 Paper Questionnaire – [Go to item 6]


  1. Did the Enumerator experience any problems using the tablet/laptop?


Shape24

Yes – Explain: ________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________


Shape25 No


6. Do you have any additional comments you would like to make concerning the interview with our Enumerator?


_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________


This concludes the interview. Thank you for your time and feedback.



FIELD SUPERVISOR INSTRUCTION: After you conclude the interview, answer the following question about the quality

control callback.


7. Based on the callback results, did the enumerator conduct the interview satisfactorily?

Shape26 Yes

Shape27 No – Explain below

Shape28 Inconclusive – Explain below

____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________


Additional comments:

____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________


Signature: ___________________________________ Date: ______________________________

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJeremy Beach
File Modified0000-00-00
File Created2021-01-15

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