2 2020 Census User Experience Questionnaire with images

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Block 1
Thank you for agreeing to share your experience completing the
2020 Census questionnaire online. We estimate that this survey
will take about 10 minutes. The results of this study will be used to
evaluate the 2020 Census online questionnaire and to make
future online questionnaires better.
AUTHORITY AND CONFIDENTIALITY

By law, the Census Bureau is required to keep your answers
confidential (Title 13, United States Code, Section 9). We are
conducting this voluntary survey under the authority of Title 13,
United States Code, Sections 141 and 193. This collection has been
approved by the Office of Management and Budget (OMB). This
eight-digit OMB approval number, 0607-0971, confirms this
approval. We are required to display this number to conduct this
survey. We estimate that this survey will take about 10 minutes.
Send comments regarding this estimate or any other aspect of
this survey, including suggestions for reducing the time it takes to
complete this survey to [email protected]. By proceeding
with this study, you give your consent to participate in this study.
The Privacy Act of 1974 (5 U.S.C. Section 552a) allows the sharing
of information you provided with Census Bureau staff for the
work-related purposes identified in this statement and the Privacy

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Act System of Records Notice (SORN) COMMERCE/CENSUS-5,
Decennial Census Programs.
Default Question Block
How satisfied were you with the experience of filling out your 2020
Census questionnaire online?
Very satisfied
Somewhat
satisfied
Neither satisfied nor
dissatisfied
Somewhat
dissatisfied
Very
dissatisfied
I don't
remember
Someone else filled out my census
questionnaire

We’d like to contact the person who filled out your Census
questionnaire to ask a few follow-up questions about their
satisfaction with completing the census online.
What is the cell phone number of the person who filled out your
census questionnaire?
###-#######
I'd rather not provide that
information

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Why were you dissatisfied? Select all that apply.
I didn’t want to share this information with the
government
I had technical
problems
I couldn’t find my
Census ID
It took too long to
fill out
I tried to use my Census ID and it
didn’t work
I didn’t want to fill out this information about other people
in my household
I had problems answering some of the
questions
Other,
specify

Which questions did you have problems with? Select all that
apply. 
Home
address
Owner or
renter
Number of people who live
with you
Names
Phone
number
Sex
Date of
birth
Hispanic/Latino/Spanish
ethnicity

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Race
How household members are related to
each other

Here is an example of the address screen:

What were the problems with the home address question? Select
all that apply. 
My address did not fit into the spaces
provided
My residence has a non-standard
address
I couldn’t find how to enter my rural
route address
My home doesn’t have an
address
I started typing my street address into the house number space
and had to correct it
I wasn’t sure which address to enter (for example, I sometimes live or stay
more than one place)

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Other,
specify

Here is an example of the address screen:

What were the problems with the home address question? Select
all that apply. 

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My address did not fit into the spaces
provided
My residence has a non-standard
address
I couldn’t find how to enter my rural
route address
My home doesn’t have an
address
I started typing my street address into the house number space
and had to correct it
I wasn’t sure which address to enter (for example, I sometimes live or stay
more than one place)
Other,
specify

Here is an example of an address screen with a made up
address:

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What were the problems with the home address question? Select
all that apply. 
The address on the paper materials I received in the mail did not match with
the address I saw on the online form
The street address was
wrong
The zip code was
wrong
The state was
wrong
It did not have the correct
apartment/unit/lot number
I could not correct the
address
Other,
specify

Here is an example of the owner/renter question with a made up
address.

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What were the problems with the owner/renter question? Select
all that apply. 
I live alone. Why do you ask about someone else in
this household
I wasn’t sure how to answer the
question
I did not understand the
question
Other,
specify

Here is an example of the number of people question with a
made up address.

What were the problems with the question about the number of
people who live with you? Select all that apply. 
I wasn’t sure whether to include people who moved into or
out of the home
I wasn’t sure whether to include
college students
I wasn’t sure whether to include young
children or babies
Other,
specify

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Here is an example of the name question.

What were the problems with the name question? Select all that
apply. 
One or more names didn’t fit in the
space available
I wanted to change, add, or remove a name and I
could not do it
I had a spelling error and I could not
correct it
I didn’t know everyone’s
full name
There were not enough name
spaces
It was unclear if I could leave middle name blank or
only use initials
Other,
specify

Here is an example of the name question.

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What were the problems with the name question? Select all that
apply. 
It was unclear if I could leave middle name blank or
only use initials
I had a spelling error and I could not
correct it
I wanted to change, add, or remove a name and I
could not do it
I didn’t know everyone’s
full name
One or more names didn’t fit in the
space available
There were not enough name
spaces
Other,
specify

Here is an example of the phone number question.

What were the problems with the phone number question? Select
all that apply. 
I didn’t know whether to list my landline or my cell
phone number
I didn’t want to give the Census Bureau my
phone number
Other,
specify

Here is an example of the sex question with a made up name.

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What were the problems with the sex question? Select all that
apply. 
I thought I had already given this
information
I wanted a response choice other than
male or female
I didn’t want to answer this question for someone else in
my household
Other,
specify

Here is an example of the date of birth question with a made up
name.

What were the problems with the date of birth question? Select all
that apply. 
The instructions in the link “If you do not know the date of birth, click
here” were confusing

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The calculated age was
incorrect
I tried to answer on my phone and I couldn’t
find the dates
I wasn’t sure if I could estimate the
date of birth
I didn’t know the date
of birth
I wanted to leave it blank and it wouldn’t let me
move forward
Other,
specify

Here is an example of the Hispanic/Latino/Spanish ethnicity
question with a made up name.

What were the problems with the Hispanic/Latino/Spanish
ethnicity question? Select all that apply. 
I did not like that the question separated Hispanics and Latinos
from other groups

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My country wasn’t
listed
My race/ethnicity
wasn’t listed
My children were born in the U.S. and I didn’t know how to answer this
question for them
Other,
specify

Here is an example of the race question with a made up name.

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What were the problems with the race question? Select all that
apply. 
I don’t like separating people
by race
I don’t know my ancestry or
heritage
I received an error message and I wasn’t sure
what I did wrong
I had to type something into the heritage/ancestry question space to get
to the next screen
I wanted to select multiple races and I wasn’t
sure if I could
My race wasn’t
listed
I wasn’t sure how far back to go with
my heritage
I do not identify with a particular ancestry
or heritage
Other,
specify

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Here is an example of the household relationships question with
made up names.

What were the problems with the question about how household
members are related to each other? Select all that apply. 
I did not like the response
choices
The list was too
long
I could not find a correct
response choice

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Other,
specify

 Which questions asked for information that you didn’t want to
share with the government? Select all that apply. 
Home
address
Owner or
renter
Number of people who live
with you
Names
Phone
number
Sex
Date of
birth
Hispanic/Latino/Spanish
ethnicity
Race
How household members are related to
each other
None of
these

Which questions did you not want to fill out about other people in
your household? Select all that apply. 
Home
address
Owner or
renter
Number of people who live
with you

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Names
Phone
number
Sex
Date of
birth
Hispanic/Latino/Spanish
ethnicity
Race
How household members are related to
each other
None of
these

What kind of technical difficulties did you have? Select all that
apply. 
I got logged out of the questionnaire before I
was finished
I got an error message that I
couldn’t fix
The questions loaded on the
screen slowly
My address was wrong and I could
not correct it
Other,
specify

I wasn’t sure if my answers were
submitted

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Why were you satisfied? Select all that apply. 
The questionnaire was
short
The website was easy
to use
I liked that I could fill it out on
my phone
I was glad to be
counted
I liked that I could fill it out
online
I knew the answers to the
questions
I liked the
design
Other,
specify

The next question is about the screen where you entered your
address. An example of that screen is below to remind you of
what it looked like.

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How easy or difficult was it for you to enter your address on that
screen?
Very
easy
Somewhat
easy
Neither easy nor
difficult
Somewhat
difficult
Very
difficult

The next question is about the screen where you entered your
address. An example of that screen is below to remind you of
what it looked like.

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How easy or difficult was it for you to enter your address on that
screen?
Very
easy

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Somewhat
easy
Neither easy nor
difficult
Somewhat
difficult
Very
difficult

What made entering the address on this screen difficult? Select
all that apply. 
My address did not fit into the spaces
provided
My residence has a non-standard
address
I couldn’t find how to enter my rural
route address
My home doesn’t have an
address
I wasn’t sure which address to enter (for example, I sometimes live or stay
more than one place)
I started typing my street address into the house number space
and had to correct it
Other,
specify

Earlier you reported:
${q://QID6/ChoiceGroup/SelectedChoices}.
Did you have any other difficulty with the address screen?
Yes
No

What was that?

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After you entered your address, it was reformatted based on U.S.
postal standards.  Here is an example of a reformatted address.

In your opinion was your address reformatted correctly?
Yes
No
I don't remember the
screen

What was wrong with the reformatted address the survey showed
you? Select all that apply.

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ZIP Code was
incorrect
The apartment number was
incorrect
The city was
incorrect
Other,
specify

The first screen of the census questionnaire asked you to log in.
Here is an example of the log in screen.

How did you log in?
I entered an ID that was mailed to me or left
at my door
I clicked on, “If you do not have a Census
ID, click here”
I don’t
remember

The first screen of the census questionnaire asked you to log in.
Here is an example of the log in screen.

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How did you log in?
I entered an ID that was mailed to me or left
at my door
I clicked on, “If you do not have a Census
ID, click here”
I don’t
remember

Where did you find your Census ID? 

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On a postcard

On a letter

I don’t
remember

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On the paper questionnaire

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On the notice of visit

How easy or difficult was it for you to find your Census ID?  
Very
easy
Somewhat
easy
Neither easy nor
difficult
Somewhat
difficult
Very
difficult

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What were your reason(s) for not entering a Census ID? Select all
that apply. 
I couldn’t find the Census ID on the letters
or postcard
I was away from home and didn’t have my letters or
postcard with me
I tried to use my Census ID and it
didn’t work
Someone else in my household used my
Census ID
I no longer had the letters or postcard with
my Census ID
I never received a
Census ID
I thought if I clicked on the link I could get
my Census ID
The Census ID was too small
to read
I don’t
remember
Other,
specify
I responded before I received a Census ID
in the mail

How many times did you fill out or attempt to fill out a census
questionnaire? 
Only one
time
More than one
time
I don't
remember

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What were your reasons for filling out or attempting to fill out the
Census questionnaire more than once?
I was helping a family member or friend
with their form
I was trying to report a vacant
property
My property has multiple
homes on it
I wasn't sure if the Census Bureau received
my answers
My answers were not saved, so I had to
start over
I was trying to report that a unit/apartment no
longer exits
I had problems with the Census
questionnaire. Specify:
Some other reason.
Specify:

Did you include everyone living in your household on your
questionnaire or did you only include some of the people?  
I live alone and filled it out
for myself
I live with others and I included
everyone
I live with others but only
included myself
I live with others but only included some of the
people I live with
I don’t
remember

Did the other people also complete their Census form?

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Yes
No
I don't
know

In the end, were you able to finish your Census questionnaire
online?
Yes, I finished and submitted my
questionnaire online
No, I had a problem with the questionnaire online and
wasn’t able to fix it
No, I wanted a way to save my answers and come
back, but I couldn’t
No, I was too busy and decided
not to finish
No, I didn’t know the answers to some of
the questions
No, I didn't want to answer some of the
questions
No, some other reason.
Specify

I don’t
remember

Which questions didn’t you know the answer to?  Select all that
apply.
Home
address
Owner or
renter

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Number of people who live
with you
Names
Phone
number
Sex
Date of
birth
Hispanic/Latino/Spanish
ethnicity
Race
How household members are related to
each other

Which questions did you not want to answer? Select all that
apply. 
Home
address
Owner or
renter
Number of people who live
with you
Names
Phone
number
Sex
Date of
birth
Hispanic/Latino/Spanish
ethnicity
Race
How household members are related to
each other

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Do you have any comments on any of the questions asked in the
Census online questionnaire?  If so, select the topic you wish to
comment on below.  If you have no additional comments, select
no comments below.
Home
address
Owner or
renter
Number of people who live
with you
Names
Phone
number
Sex
Date of
birth
Hispanic/Latino/Spanish
ethnicity
Race
How household members are related to
each other
No
comments

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Here is an example of the address screen:

What are your comments with the home address question?
Select all that apply. 
My address did not fit into the spaces
provided
My residence has a non-standard
address
I couldn’t find how to enter my rural
route address
My home doesn’t have an
address
I started typing my street address into the house number space
and had to correct it
I wasn’t sure which address to enter (for example, I sometimes live or stay
more than one place)
Other,
specify

https://research.rm.census.gov/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview?Contex... 7/28/2020

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Here is an example of the address screen:

What are your comments with the home address question?
Select all that apply. 
My address did not fit into the spaces
provided

https://research.rm.census.gov/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview?Contex... 7/28/2020

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My residence has a non-standard
address
I couldn’t find how to enter my rural
route address
My home doesn’t have an
address
I started typing my street address into the house number space
and had to correct it
I wasn’t sure which address to enter (for example, I sometimes live or stay
more than one place)
Other,
specify

Here is an example of an address screen with a made up
address:

What are your comments with the home address question?
Select all that apply. 

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The address on the paper materials I received in the mail did not match with
the address I saw on the online form
The street address was
wrong
The zip code was
wrong
The state was
wrong
It did not have the correct
apartment/unit/lot number
I could not correct the
address
Other,
specify

Here is an example of the owner/renter question with a made up
address.

What are your comments with the owner/renter question? Select
all that apply. 

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I did not understand the
question
I live alone. Why do you ask about someone else in
this household
I wasn’t sure how to answer the
question
Other,
specify

Here is an example of the number of people question with a
made up address.

What are your comments with the question about the number of
people who live with you? Select all that apply. 
I wasn’t sure whether to include young
children or babies
I wasn’t sure whether to include
college students
I wasn’t sure whether to include people who moved into or
out of the home
Other,
specify

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Here is an example of the name question.

What are your comments with the name question? Select all that
apply. 
I had a spelling error and I could not
correct it
There were not enough name
spaces
I didn’t know everyone’s
full name
One or more names didn’t fit in the
space available
It was unclear if I could leave middle name blank or
only use initials
I wanted to change, add, or remove a name and I
could not do it
Other,
specify

Here is an example of the name question.

What are your comments with the name question? Select all that
apply. 

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It was unclear if I could leave middle name blank or
only use initials
There were not enough name
spaces
I had a spelling error and I could not
correct it
I didn’t know everyone’s
full name
One or more names didn’t fit in the
space available
I wanted to change, add, or remove a name and I
could not do it
Other,
specify

Here is an example of the phone number question.

What are your comments with the phone number question?
Select all that apply. 
I didn’t want to give the Census Bureau my
phone number
I didn’t know whether to list my landline or my cell
phone number
Other,
specify

Here is an example of the sex question with a made up name.

https://research.rm.census.gov/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview?Contex... 7/28/2020

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What are your comments with the sex question? Select all that
apply. 
I thought I had already given this
information
I didn’t want to answer this question for someone else in
my household
I wanted a response choice other than
male or female
Other,
specify

Here is an example of the date of birth question with a made up
name.

What are your comments with the date of birth question? Select
all that apply. 
The calculated age was
incorrect

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The instructions in the link “If you do not know the date of birth, click
here” were confusing
I tried to answer on my phone and I couldn’t
find the dates
I didn’t know the date
of birth
I wanted to leave it blank and it wouldn’t let me
move forward
I wasn’t sure if I could estimate the
date of birth
Other,
specify

Here is an example of the Hispanic/Latino/Spanish ethnicity
question with a made up name.

What are your comments with the Hispanic/Latino/Spanish
ethnicity question? Select all that apply. 
My race/ethnicity
wasn’t listed

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My children were born in the U.S. and I didn’t know how to answer this
question for them
My country wasn’t
listed
I did not like that the question separated Hispanics and Latinos
from other groups
Other,
specify

Here is an example of the race question with a made up name.

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What are your comments with the race question? Select all that
apply. 
I received an error message and I wasn’t sure
what I did wrong
I had to type something into the heritage/ancestry question space to get
to the next screen
I don’t like separating people
by race
I don’t know my ancestry or
heritage
I wasn’t sure how far back to go with
my heritage
I wanted to select multiple races and I wasn’t
sure if I could
I do not identify with a particular ancestry
or heritage
My race wasn’t
listed
Other,
specify

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Here is an example of the household relationships question with
made up names.

What are your comments with the question about how household
members are related to each other? Select all that apply. 
I could not find a correct
response choice
The list was too
long
I did not like the response
choices

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Other,
specify

Is there anything else about filling out the 2020 Census that you
would like to share with us?
Yes
No

What else would you like to tell us?

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