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pdfQuestion ID: ROS.0020.00.1
Variable name: HHCLock
Interview module: ROS(Roster)
Universe: HHCLock_flg eq 1
Question Text:
Response:
The demographic information is now locked and cannot be changed. Enter '1' to
continue with the interview. If reentering the case, press the END key to go to the
next unanswered question.
1.
Enter 1 to Continue
Skip Instructions: <1> If GEN.PCNTUNDER18 GT 0, [goto REL.WHOPAR]
else [goto SASCSELECT]
Question ID: HHC.0020.00.1
Variable name: NAME_FNAME
Interview module: HHC(Roster.HHC.tblNAME.blkPerson
Universe: ALL
Question Text:
Response:
Fills:
^FNAME
DK:
RF:
^FNAME
Enter 999 if no more persons.
Don't Know
Refused
If first person in roster, fill: "Starting with you, what
are the names of all the persons living or staying
here?"
Else for next person fill: "What is the name of the
next person living or staying here?"
Skip Instructions: if name on fake/false name list [goto ERR2_NAME_FNAME];
elseif NAME_FNAME is identical to any other NAME_FNAME or ALIAS [goto
ERR3_NAME_FNAME]
else [goto NAME_LNAME]
<999> if LNO=1 [goto ERR1_NAME_FNAME]
else [goto USUALRES]
[goto ALIAS]
Page 1 of 48
Check Name: ERR1_NAME_FNAME
Text:
{check ERR1_NAME_FNAME}
household. Please correct.
999 not allowed for the first person in the
Hard / Soft Edit: Hard
Universe: NAME_FNAME=999 for first person
Check Name: ERR2_NAME_FNAME
Text:
{signal ERR2_NAME_FNAME} You are entering a possible fake/false name.
Please correct.
If this is a legitimate name, suppress this error message and
continue. Otherwise, go back to the name field and enter a legitimate name. To enter
an alias, enter 'Ctrl D' or 'Ctrl R' for 'Don't Know' or 'Refused' at the name field. Then,
enter a matching identifier/alias at the next screen (ALIAS).
Hard / Soft Edit: Soft
Universe: NAME_FNAME IN
REFUSED
WOMAN
MAN
LADY
ANONYMOUS
BOY
GIRL
MRS
MR
MS
MISS
FEMALE
MALE
MISTER
CHILD
KID
DAUGHTER
DAU
SON
PERSON
HUSBAND
WIFE
MOTHER
FATHER
ADULT
Page 2 of 48
YOUNG
BROTHER
SISTER
MOM
DAD
Check Name: ERR3_NAME_FNAME
Text:
{check ERR3_NAME_FNAME}
^NameMatch.
First name cannot be the same as previous
Hard / Soft Edit: Hard
Fills:
^NameMatch
If NAME_FNAME matches previous NAME_FNAME,
fill "first name"
If NAME_FNAME matches previous ALIAS, fill
"alias"
If ALIAS matches previous NAME_FNAME, fill "first
name"
If ALIAS matches previous ALIAS, fill "alias"
Universe: if NAME_FNAME is identical to any other NAME_FNAME or ALIAS
Question ID: HHC.0030.00.1
Variable name: NAME_LNAME
Interview module: HHC(Roster.HHC.tblNAME.blkPerson
Universe: NAME_FNAME not in (999,RF,DK)
Question Text:
Response:
Enter last name if provided. Last name is optional.
DK:
RF:
Don't Know
Refused
Skip Instructions: [If PX<25 goto NAME_FNAME for next person, else
goto USUALRES]
Page 3 of 48
Question ID: HHC.0040.00.1
Variable name: ALIAS
Interview module: HHC(Roster.HHC.tblNAME.blkPerson
Universe: NAME_FNAME IN (RF,DK)
Question Text:
How shall I refer to ^youthisperson for the rest of the interview?
Response:
Fills:
^youthisperson
If subject=respondent, fill "you",
else if subject NE respondent, fill "this person"
Skip Instructions: if ALIAS is identical to any other NAME_FNAME or ALIAS [goto
ERR1_ALIAS]
elseif ALIAS = 999 [goto ERR2_ALIAS]
else [If PX<25 goto NAME_FNAME for next person, else goto USUALRES]
Check Name: ERR1_ALIAS
Text:
{check ERR1_ALIAS}
Alias cannot be the same as previous ^NameMatch.
Hard / Soft Edit: Hard
Fills:
^NameMatch
If NAME_FNAME matches previous NAME_FNAME,
fill "first name"
If NAME_FNAME matches previous ALIAS, fill
"alias"
If ALIAS matches previous NAME_FNAME, fill "first
name"
If ALIAS matches previous ALIAS, fill "alias"
Universe: if ALIAS is identical to any other NAME_FNAME or ALIAS
Page 4 of 48
Check Name: ERR2_ALIAS
Text:
{check ERR2_ALIAS} *999 not allowed as an alias. *Please correct
Hard / Soft Edit: Hard
Universe: ALIAS = 999
Question ID: HHC.0050.00.1
Variable name: USUALRES
Interview module: HHC(Roster.HHC.tblURE.blkPerson)
Universe: NAME_FNAME ne 999
Question Text:
Response:
Fills:
^DoDoes ^youALIAS usually live here?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^DoDoes
If subject=respondent, fill "Do",
else if subject NE respondent, fill "Does"
Skip Instructions: <1> if (PX < 25) [goto USUALRES for next person in household]
else [goto MISPERS_MCHILD]
elseif PX=25 and PCNT gt 1 or (PCNT=1 and HHSTAT_D[1]=1) [goto
HHRESP]
elseif PX=25 and PCNT=1 and HHSTAT_D[1]=empty [goto SEX]
elseif PX=25 and PCNT=0 [goto EXIT]
<2,RF,DK> [goto ASKURE]
Page 5 of 48
Question ID: HHC.0060.00.1
Variable name: ASKURE
Interview module: HHC(Roster.HHC.tblURE.blkPerson)
Universe: USUALRES IN (2,RF,DK)
Question Text:
Response:
Fills:
^DoDoes ^youALIAS have some other place where ^youthey usually live?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^DoDoes
If subject=respondent, fill "Do",
else if subject NE respondent, fill "Does"
^youthey
If subject=respondent, fill "you",
else if subject NE respondent, fill "they"
Skip Instructions: <1> [goto USUALSCHOOL]
<2,RF,DK> if (PX < 25) [goto USUALRES for next person in the household]
else [goto MISPERS_MCHILD]
elseif PX=25 and PCNT gt 1 or (PCNT=1 and HHSTAT_D[1]=1) [goto
HHRESP]
elseif PX=25 and PCNT=1 and HHSTAT_D[1]=empty [goto SEX]
elseif PX=25 and PCNT=0 [goto EXIT]
Question ID: HHC.0070.00.1
Variable name: USUALSCHOOL
Interview module: HHC(Roster.HHC.tblURE.blkPerson)
Universe: USUALRES IN (2,DK,RF) and ASKURE=1
Question Text:
^AreIs ^youALIAS usually away at school or college?
Response:
Page 6 of 48
1.
2.
DK:
RF:
Fills:
Yes
No
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^AreIs
If subject=respondent, fill "Are",
else if subject NE respondent, fill "Is"
Skip Instructions: <1> [goto ONOFFCAMPUS]
<2,RF,DK> if (PX < 25) [goto USUALRES for next person in the household]
else [goto MISPERS_MCHILD]
elseif PX=25 and PCNT gt 1 or (PCNT=1 and HHSTAT_D[1]=1) [goto
HHRESP]
elseif PX=25 and PCNT=1 and HHSTAT_D[1]=empty [goto SEX]
elseif PX=25 and PCNT=0 [goto EXIT]
Question ID: HHC.0080.00.1
Variable name: ONOFFCAMPUS
Interview module: HHC(Roster.HHC.tblURE.blkPerson)
Universe: USUALRES IN (2,DK,RF) and ASKURE=1 and USUALSCHOOL=1
Question Text:
Response:
Fills:
^DoDoes ^youALIAS live in on-campus housing or off-campus housing?
Read if necessary: On-campus housing includes residence halls and dorms where
students live together. It also includes buildings that are owned, leased, or managed
by the school. Fraternities and sororities are on-campus housing.
1.
2.
DK:
RF:
On campus
Off campus
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^DoDoes
If subject=respondent, fill "Do",
else if subject NE respondent, fill "Does"
Page 7 of 48
Skip Instructions: <1,2,RF,DK> if (PX < 25) [goto USUALRES for next person in the household]
else [goto MISPERS_MCHILD]
elseif PX=25 and PCNT gt 1 or (PCNT=1 and HHSTAT_D[1]=1) [goto
HHRESP]
elseif PX=25 and PCNT=1 and HHSTAT_D[1]=empty [goto SEX]
elseif PX=25 and PCNT=0 [goto EXIT]
Question ID: HHC.0090.00.1
Variable name: MISPERS_MCHILD
Interview module: HHC(Roster.HHC)
Universe: TOTPCNT < 25
Question Text:
Response:
Fills:
^ROSTEREXCEPTION ^HHROSTERINTRO ^HHROSTER Have I missed any
babies or small children?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^ROSTEREXCEPTION If PCNT < TOTPCNT, fill: "Students living in
on-campus housing will be included in the interview.
Other people who do not usually live hereand have
another residence elsewhere will not be included in
this interview."
^HHROSTERINTRO
Household Roster Introduction
^HHROSTER
entire roster for [^ALIASNAME[PX]] if HHSTAT ne 'D'
(non deleted persons)
Skip Instructions: <1>[goto NAME_FNAME to add person to roster]
<2,RF,DK> [goto MISPERS_MSCHOOL]
Page 8 of 48
Question ID: HHC.0140.00.1
Variable name: MISPERS_MSCHOOL
Interview module: HHC(Roster.HHC)
Universe: TOTPCNT < 25
Question Text:
Response:
Fills:
Read if necessary. I have listed the household members as... ^HHROSTER Have
I missed anyone who USUALLY lives here, but is away now at school or
college?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^HHROSTER
entire roster for [^ALIASNAME[PX]] if HHSTAT ne 'D'
(non deleted persons)
Skip Instructions: <1> [goto ERR_MISPERS_MSCHOOL]
[goto NAME_FNAME to add person to roster]
<2,RF,DK> [goto MISPERS_MELSE]
Check Name: ERR_MISPERS_MSCHOOL
Text:
{signal ERR_MISPERS_MSCHOOL} Do not read to the respondent. After adding
the name of the household member who is now away at school or college to the
roster, press the END key, enter '2' at USUALRES, enter '1' at ASKURE, and answer
the USUALSCHOOL question. Suppress message to continue.
Hard / Soft Edit: Soft
Universe: MISPERS_MSCHOOL = 1
Page 9 of 48
Question ID: HHC.0160.00.1
Variable name: MISPERS_MELSE
Interview module: HHC(Roster.HHC)
Universe: TOTPCNT < 25
Question Text:
Response:
Fills:
Read if necessary. I have listed the household members as... ^HHROSTER Have
I missed anyone else who USUALLY lives here, including people who are not
related to you or people who are away traveling?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^HHROSTER
entire roster for [^ALIASNAME[PX]] if HHSTAT ne 'D'
(non deleted persons)
Skip Instructions: <1> [goto NAME_FNAME to add person to roster]
<2,RF,DK> if PCNT = 0 [goto EXIT]
elseif PCNT = 1 [goto SEX]
elseif PCNT gt 1 or (PCNT=1 and HHSTAT_D[1]=1) [goto HHRESP]
Question ID: HHC.0180.00.1
Variable name: HHRESP
Interview module: HHC(Roster.HHC)
Universe: GEN.PCNT GT 1 OR (PCNT=1 and HHSTAT_D[1]=1)
Question Text:
Response:
Which adults living here would you say know about the members of this
household? Person(s) selected must be over 18. You may select someone who
is marked as deleted. Enter all that apply, separate with commas.
01.
02.
03.
04.
05.
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
Page 10 of 48
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Skip Instructions: 1 not IN HHRESP [goto HHRESPAVAIL]
One Person selected at HHRESP and that person has HHSTAT_D=1 [goto
HHRESPPROXY]
else [goto tblSex.bPerson.SEX]
Question ID: HHC.0190.00.1
Variable name: HHRESPAVAIL
Interview module: HHC(Roster.HHC)
Universe: 1 not IN HHRESP
Question Text:
Response:
^HHRESP_fill Select the line number of the person who can continue the interview.
If no one is available press F9 to set up a callback.
01.
02.
^ALIASNAME[1]
^ALIASNAME[2]
Page 11 of 48
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Fills:
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
^HHRESP_fill
If multiple people are selected, fill "Of the people you
just mentioned, who can speak with me now?"
If one person is selected, fill "Can ^ALIASNAME
speak with me now?"
Skip Instructions: <1-25> (person selected at HHRESPAVAIL has HHSTAT_D=1) [goto
HHRESPPROXY]
else [goto tblSex.bPerson.SEX]
Page 12 of 48
Question ID: HHC.0200.00.1
Variable name: HHRESPPROXY
Interview module: HHC(Roster.HHC)
Universe: Person selected at HHRESP or HHRESPAVAIL has HHSTAT_D=1
Question Text:
Response:
Fills:
^ALIASNAME does not usually live here. ^DoyouDoesALIAS take care of
someone who lives here?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^ALIASNAME
Fill value from Roster.HHC.ALIAS[PX]
^DoyouDoesALIAS
For person being spoken to (PX=LNO_RESP)fill: "Do
you"
For all other adults in family fill: "Does ^ALIASNAME"
Skip Instructions: <1> [goto tblSex.bPerson.SEX]
<2,RF,DK> [goto ERR_HHRESPPROXY]
Check Name: ERR_HHRESPPROXY
Text:
{signal ERR_HHRESPPROXY}
Hard / Soft Edit: Soft
Universe: HHRESPROXY in (2,RF,DK)
Page 13 of 48
Person was deleted from this household.
Question ID: HHC.0210.00.1
Question Text:
Response:
Fills:
Variable name: SEX
Interview module: HHC(Roster.HHC.tblSEX.blkPerson)
^AreIs ^youALIAS male or female?
1.
2.
DK:
RF:
Male
Female
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^AreIs
If subject=respondent, fill "Are",
else if subject NE respondent, fill "Is"
Skip Instructions: If last non-deleted person on roster [goto AGENO]
else [goto SEX for next non-deleted person on roster]
Question ID: HHC.0220.01.1
Question Text:
Response:
Fills:
Variable name: AGENO
1 of 2 What is ^yourALIAS age?
DK:
RF:
Interview module: HHC(Roster.HHC.tblAGE.blkPerson)
Enter number for age.
Don't Know
Refused
^yourALIAS
If PX=LNO_RESP fill "your";
else fill "^ALIASNAME's"
Skip Instructions: <001-120> [goto AGETP]
[goto AGE18]
Page 14 of 48
Question ID: HHC.0220.02.1
Variable name: AGETP
Interview module: HHC(Roster.HHC.tblAGE.blkPerson)
Universe: AGENO[PX]=001-120
Question Text:
Response:
2 of 2
1.
2.
3.
4.
Enter number for age time period.
Day(s)
Week(s)
Month(s)
Year(s)
Skip Instructions: If last non-deleted person on roster AND ((AGENO = RF, DK and AGE18 =1)
or AGE LT 018 for everyone) then [goto Exit]
elseif last non-deleted person on roster [goto NATORG]
else [goto AGENO for next non-deleted person on roster]
Question ID: HHC.0230.00.1
Variable name: AGE18
Interview module: HHC(Roster.HHC.tblAGE.blkPerson)
Universe: AGENO IN (DK,RF)
Question Text:
Response:
Fills:
Certain sections of this interview depend on knowing if a person is 18 years or
older. Could you please tell me if ^youALIAS ^areis less than 18 years old or 18
years or older?
1.
2.
DK:
RF:
Less than 18
18 or older
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^areis
If PX=LNO_RESP, fill "are",
else fill "is"
Page 15 of 48
Skip Instructions: [goto AGEGUESS]
<2> [goto AGE65]
<1> If last non-deleted person on roster AND ((AGENO=RF,DK and
AGE18=1) or AGE LT 018 for everyone then [goto Exit]
Else if last non-deleted person on roster [goto NATORG]
Else [goto AGENO for next non-deleted person on roster]
Question ID: HHC.0240.00.1
Variable name: AGE65
Interview module: HHC(Roster.HHC.tblAGE.blkPerson)
Universe: AGE18=2
Question Text:
Response:
Fills:
^AreIs ^youALIAS less than 65 years old or 65 years or older?
1.
2.
DK:
RF:
Less than 65
65 or older
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^AreIs
If subject=respondent, fill "Are",
else if subject NE respondent, fill "Is"
Skip Instructions: <1,2,RF,DK> if last non-deleted person on roster [goto NATORG]
else [goto AGENO for next non-deleted person on roster]
Question ID: HHC.0250.00.1
Variable name: AGEGUESS
Interview module: HHC(Roster.HHC.tblAGE.blkPerson)
Universe: AGE18=RF,DK
Question Text:
Use your judgement to guess if ^ALIASNAME is less than 18 or 18 or older.
Response:
Page 16 of 48
1.
2.
Fills:
Less than 18
18 or older
^ALIASNAME
Fill value from Roster.HHC.ALIAS[PX]
Skip Instructions: If last non-deleted person on roster AND AGEGUESS = 1,2 for everyone then
[goto Exit]
elseif last non-deleted person on roster [goto NATORG]
else [goto AGENO for next non-deleted person on roster]
Question ID: HHC.0290.00.1
Question Text:
Response:
Fills:
Variable name: NATORG
Interview module: HHC(Roster.HHC.tblNATORG.blkPers
^NATORGAGE
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^NATORGAGE
If person is 17 or younger: "Is ^ALIASNAME
Hispanic or Latino?"
If person is 18 or older: "^DoyouDoesALIAS consider
^yourhimherself to be Hispanic or Latino?"
Skip Instructions: If last non-deleted person on roster [goto RACE]
else [goto NATORG for next non-deleted person on roster]
Question ID: HHC.0300.00.1
Question Text:
Response:
Variable name: RACE
^RACEAGE ^RACEFILL
1.
Interview module: HHC(Roster.HHC.tblRACE.blkPerson
Enter all that apply, separate with commas.
White
Page 17 of 48
2.
3.
4.
5.
6.
7.
8.
DK:
RF:
Fills:
Black/African American
American Indian
Alaska Native
Native Hawaiian
Pacific Islander
Asian
Some other race
Don't Know
Refused
^RACEAGE
If person is 17 or younger: "What race or races is
^ALIASNAME?"
If person is 18 or older: "What race or races ^dodoes
^youALIAS consider ^yourhimherself to be?"
^RACEFILL
For first or only non-deleted person:
Please select 1 or more of these categories:
White, Black, African American, American Indian,
Alaska Native, Native Hawaiian, Pacific Islander,
Asian, or some other race?
Else fill:
*Read if necessary: Please select 1 or more of these
categories:
White, Black, African American, American Indian,
Alaska Native, Native Hawaiian, Pacific Islander,
Asian, or some other race?
Skip Instructions: <8> IN RACE [goto RACE_SP]
<1-7,RF,DK> If last non-deleted person on roster AND at least one person
with AGE18=2 or AGEGUESS=2 or AGE[PX] = 17-64 [goto AFNOW]
elseif last non-deleted person on roster [goto EDUC]
else [goto RACE for next non-deleted person on roster]
Page 18 of 48
Question ID: HHC.0310.00.1
Variable name: RACE_SP
Interview module: HHC(Roster.HHC.tblRACE.blkPerson
Universe: 8 IN RACE
Question Text:
Response:
Fills:
^RACESPAGE Start typing and then select from list. If race is not on the list, type
"ZZ" and enter verbatim. If any of the following are mentioned, back up to previous
screen and correct the entry. White Black African American American Indian Alaska
Native Native Hawaiian Pacific Islander Asian If respondent provides more than
one other race, select 'ZZ' from the lookup table. At the next question, enter ALL the
other races in the verbatim field.
DK:
RF:
Don't Know
Refused
^RACESPAGE
If person is 17 or younger: "What other race or races
is ^ALIASNAME?"
If person is 18 or older: "What other race or races
^dodoes ^youALIAS consider ^yourhimherself to
be?"
Skip Instructions: If last non-deleted person on roster AND at
least one person with AGE18=2 or AGEGUESS=2 or AGE[PX] = 17-64 [goto
AFNOW]
elseif last non-deleted person on roster [goto EDUC]
else [goto RACE for next non-deleted person on roster]
[goto RACE_VRBAT]
Question ID: HHC.0320.00.1
Variable name: RACE_VRBAT
Universe: 8 IN RACE and ZZ in RACE_SP
Question Text:
Response:
Read if necessary. ^RACESPAGE
DK:
RF:
Don't Know
Refused
Page 19 of 48
Interview module: HHC(Roster.HHC.tblRACE.blkPerson
Fills:
^RACESPAGE
If person is 17 or younger: "What other race or races
is ^ALIASNAME?"
If person is 18 or older: "What other race or races
^dodoes ^youALIAS consider ^yourhimherself to
be?"
Skip Instructions: If last non-deleted person on roster AND at least one person with
AGE18=2 or AGEGUESS=2 or AGE[PX] = 17-64 [goto AFNOW]
elseif last non-deleted person on roster [goto EDUC]
else [goto RACE for next non-deleted person on roster]
Question ID: HHC.0330.00.1
Variable name: AFNOW
Interview module: HHC(Roster.HHC)
Universe: PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and PCNTAGEAF gt 0
Question Text:
Response:
Fills:
^AreyouIsALIASIsanyone now on full-time active duty with the Armed Forces?
Read if necessary: Active duty does not include training for the Reserves or National
Guard, but DOES include activation, for example, for service in the U.S. or in a
foreign country, in support of military or humanitarian operations.
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^AreyouIsALIASIsanyoneIf PCNTAGEAF=1 and that person=respondent, fill
"Are you",
elseif PCNTAGEAF=1 and that person NE
respondent, fill "Is ^ALIASNAME"
elseif PCNTAGEAF GT 1 fill "Is anyone in the
household"
Skip Instructions: <1> if GEN.PCNTAGEAF GT 1 [goto AFNOWWHO]
elseif GEN.PCNTAGEAF=1 and GEN.PCNT=1[goto EXIT]
elseif GEN.PCNTAGEAF=1 and GEN.PCNT GT 1[goto EDUC]
<2,RF,DK> [goto EDUC]
Page 20 of 48
Question ID: HHC.0340.00.1
Variable name: AFNOWWHO
Interview module: HHC(Roster.HHC)
Universe: GEN.PCNTAGEAF GT 1 and AFNOW=1
Question Text:
Response:
Who is this? (Anyone else?)
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Enter all that apply, separate with commas.
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Skip Instructions: <1-25> if all PX have GEN.HHSTAT_D=1 or GEN.HHSTAT_M = 1 [goto EXIT]
else [goto EDUC]
Page 21 of 48
Question ID: HHC.0350.00.1
Question Text:
Response:
Fills:
Variable name: EDUC
Interview module: HHC(Roster.HHC.tblEDUC.blkPerson
What is the HIGHEST level of school ^youALIAS ^havehas completed or the
highest degree ^youALIAS ^havehas received?
Enter highest level of school
completed.
0.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
DK:
RF:
Never attended/kindergarten only
Grade 1-11
12th grade, no diploma
GED or equivalent
High School Graduate
Some college, no degree
Occupational, technical, or vocational program
Two year or Associate degree
Bachelor's degree (Example: BA, AB, BS, BBA)
Master's degree (Example: MA, MS, MEng, MEd, MBA)
Professional School degree (Example: MD, DDS, DVM, JD)
Doctoral degree (Example: PhD, EdD)
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^havehas
If subject=respondent, fill "have",
else if subject NE respondent fill "has"
Skip Instructions: <0-11,RF,DK> If last non-deleted adult on roster [goto next section]
else [goto EDUC for next non-deleted adult on roster]
Page 22 of 48
Question ID: HHC.0360.00.1
Variable name: EXIT
Interview module: HHC(Roster.HHC)
Universe: (all PX have HHSTAT_D = 1 or HHSTAT_M = 1) or
(PNCTAGEGUESS = PCNT) or
(PCNT18PLUS = 0)
Question Text:
Response:
Not every household in our survey is asked all questions. I have all the
information about your household that I need at this time. Thank you for your
assistance. Enter '1' to continue.
1.
Enter 1 to Continue
Skip Instructions: <1> [goto BCK.WHOREADLTR]
Question ID: REL.0010.00.1
Question Text:
Response:
Variable name: WHOPAR
Interview module: REL(Roster.tblREL.blkPerson)
Which people living in this household are ^ALIASNAME's parents? Please
include biological, step, or adoptive parents, but not foster parents or other
relatives who may act as parents. If respondent is a foster parent or relative who
acts as a parent, probe "Does ^ALIASNAME have any biological, step, or adoptive
parents living in this household?" Enter '0' if no biological, step, or adoptive parents
live in the household. Legal guardians who are not biological, step, or adoptive
parents should not be selected at this question. Enter all that apply, separate with
commas.
00.
01.
02.
03.
04.
05.
06.
07.
08.
09.
No biological, step, or adoptive parents
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
Page 23 of 48
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
DK:
RF:
Fills:
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Don't Know
Refused
^ALIASNAME
Fill value from Roster.HHC.ALIAS[PX]
Skip Instructions: If <0> selected with any other value [goto ERR4_WHOPAR]
If AGEDIFF LT 15 [goto ERR1_WHOPAR]
elseif AGEDIFF GE 50 [goto ERR2_WHOPAR]
elseif AGEDIFF LE 0 [goto ERR3_WHOPAR]
<0, RF, DK> [goto FOSTPAR]
<1-25> If last non-deleted child on roster [goto next section]
else [goto WHOPAR for next non-deleted child on roster]
Check Name: ERR1_WHOPAR
Text:
{signal ERR1_WHOPAR} Age difference between parent and child is ^AGEDIFF
years. I have recorded the parent ^PARENTNAME is ^PARENTAGE years old
and the child ^CHILDNAME is ^CHILDAGE years old. Are these ages and
relationships correct? Please correct relationship code or age.
Hard / Soft Edit: Soft
Fills:
^PARENTAGE
Fill
value
from Roster.HHC.tblAge.bPerson[WHOPAR].
AGE
^CHILDNAME
Fill value of Roster.HHC.ALIAS[PX]
Page 24 of 48
^AGEDIFF
Fill value from Roster.REL.AGEDIFF[PX]
^PARENTNAME
Fill
value
from Roster.HHC.tblName.bPerson[WHOPAR
].ALIAS
^CHILDAGE
Fill: Roster.HHC.tblAge.bPerson[PX].AGE
If AGE ge 1, fill: AGE value
If AGE lt 1, fill: "is less
than 1"
Universe: If AGEDIFF LT 15
Check Name: ERR2_WHOPAR
Text:
{signal ERR2_WHOPAR} Age difference between parent and child is greater than
or equal to 50 years. I have recorded the parent ^PARENTNAME is
^PARENTAGE years old and the child ^CHILDNAME is ^CHILDAGE years old.
Are these ages and relationships correct? Please correct relationship code or
age.
Hard / Soft Edit: Soft
Fills:
^CHILDNAME
Fill value of Roster.HHC.ALIAS[PX]
^PARENTNAME
Fill
value
from Roster.HHC.tblName.bPerson[WHOPAR
].ALIAS
^PARENTAGE
Fill
value
from Roster.HHC.tblAge.bPerson[WHOPAR].
AGE
^CHILDAGE
Fill: Roster.HHC.tblAge.bPerson[PX].AGE
If AGE ge 1, fill: AGE value
If AGE lt 1, fill: "is less
than 1"
Universe: AGEDIFF GE 50
Page 25 of 48
Check Name: ERR3_WHOPAR
Text:
{signal ERR3_WHOPAR} Please verify. Parent is younger than child. I have
recorded the parent ^PARENTNAME is ^PARENTAGE years old and the child
^CHILDNAME is ^CHILDAGE years old. Are these ages and relationships
correct? Please correct relationship code or age.
Hard / Soft Edit: Soft
Fills:
^PARENTNAME
Fill
value
from Roster.HHC.tblName.bPerson[WHOPAR
].ALIAS
^PARENTAGE
Fill
value
from Roster.HHC.tblAge.bPerson[WHOPAR].
AGE
^CHILDNAME
Fill value of Roster.HHC.ALIAS[PX]
^CHILDAGE
Fill: Roster.HHC.tblAge.bPerson[PX].AGE
If AGE ge 1, fill: AGE value
If AGE lt 1, fill: "is less
than 1"
Universe: if AGE of selected parent is LT age of child
Check Name: ERR4_WHOPAR
Text:
{check ERR4_WHOPAR}
Please correct.
Invalid entry. Cannot mark 0 and a valid line number.
Hard / Soft Edit: Hard
Universe: If <0> selected with any other value at WHOPAR
Page 26 of 48
Question ID: REL.0030.00.1
Variable name: FOSTPAR
Interview module: REL(Roster.tblREL.blkPerson)
Universe: WHOPAR IN (0,RF,DK)
Question Text:
Response:
Fills:
Is ^ALIASNAME currently in foster care? By that I mean is there an adult living
in this household acting as a foster parent to ^ALIASNAME under the
supervision of a state or county child welfare agency?
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
^ALIASNAME
Fill value from Roster.HHC.ALIAS[PX]
Skip Instructions: <1> [goto WHOFOST]
<2,RF,DK> If last non-deleted child on roster [goto next section]
else [goto WHOPAR for next non-deleted child on roster]
Question ID: REL.0040.00.1
Variable name: WHOFOST
Interview module: REL(Roster.tblREL.blkPerson)
Universe: FOSTPAR=1
Question Text:
Response:
Which people living in this household are ^ALIASNAME's foster parents?
Read if necessary: Please include grandparents or other family members if they are
acting as foster parents under the supervision of a state or county child welfare
agency. Enter all that apply, separate with commas.
01.
02.
03.
04.
05.
06.
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
Page 27 of 48
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
DK:
RF:
Fills:
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Don't Know
Refused
^ALIASNAME
Fill value from Roster.HHC.ALIAS[PX]
Skip Instructions: If AGEDIFF LT 15 [goto ERR1_WHOFOST]
elseif AGEDIFF GE 50 [goto ERR2_WHOFOST]
elseif AGEDIFF LE 0 [goto ERR3_WHOFOST]
If last non-deleted child on roster [goto next section]
else [goto WHOPAR for next non-deleted child on roster]
Page 28 of 48
Check Name: ERR1_WHOFOST
Text:
{signal ERR1_WHOFOST} Age difference between parent and child is ^AGEDIFF
years. I have recorded the foster parent ^FOSTPARNAME is ^FOSTPARAGE
years old and the child ^CHILDNAME is ^CHILDAGE years old. Are these ages
and relationships correct? Please correct relationship code or age.
Hard / Soft Edit: Soft
Fills:
^PARENTAGE
Fill
value
from Roster.HHC.tblAge.bPerson[WHOPAR].
AGE
^AGEDIFF
Fill value from Roster.REL.AGEDIFF[PX]
^CHILDAGE
Fill: Roster.HHC.tblAge.bPerson[PX].AGE
If AGE ge 1, fill: AGE value
If AGE lt 1, fill: "is less
than 1"
^FOSTPARNAME
Fill:
Roster.HHC.tblName.bPerson[WHOFOST].ALIAS
^FOSTPARAGE
Fill: Roster.HHC.tblAge.bPerson[WHOFOST].AGE
^PARENTNAME
Fill
value
from Roster.HHC.tblName.bPerson[WHOPAR
].ALIAS
^CHILDNAME
Fill value of Roster.HHC.ALIAS[PX]
Universe: If AGEDIFF LT 15
Page 29 of 48
Check Name: ERR2_WHOFOST
Text:
{signal ERR2_WHOFOST} Age difference between parent and child is greater than
or equal to 50 years. I have recorded the foster parent ^FOSTPARNAME is
^FOSTPARAGE years old and the child ^CHILDNAME is ^CHILDAGE years old.
Are these ages and relationships correct? Please correct relationship code or
age.
Hard / Soft Edit: Soft
Fills:
^PARENTAGE
Fill
value
from Roster.HHC.tblAge.bPerson[WHOPAR].
AGE
^CHILDNAME
Fill value of Roster.HHC.ALIAS[PX]
^CHILDAGE
Fill: Roster.HHC.tblAge.bPerson[PX].AGE
If AGE ge 1, fill: AGE value
If AGE lt 1, fill: "is less
than 1"
^FOSTPARNAME
Fill:
Roster.HHC.tblName.bPerson[WHOFOST].ALIAS
^PARENTNAME
Fill
value
from Roster.HHC.tblName.bPerson[WHOPAR
].ALIAS
^FOSTPARAGE
Fill: Roster.HHC.tblAge.bPerson[WHOFOST].AGE
Universe: AGEDIFF GE 50
Page 30 of 48
Check Name: ERR3_WHOFOST
Text:
{signal ERR3_WHOFOST} Please verify. Parent is younger than child. I have
recorded the foster parent ^FOSTPARNAME is ^FOSTPARAGE years old and
the child ^CHILDNAME is ^CHILDAGE years old. Are these ages and
relationships correct? Please correct relationship code or age.
Hard / Soft Edit: Soft
Fills:
^PARENTNAME
Fill
value
from Roster.HHC.tblName.bPerson[WHOPAR
].ALIAS
^PARENTAGE
Fill
value
from Roster.HHC.tblAge.bPerson[WHOPAR].
AGE
^CHILDNAME
Fill value of Roster.HHC.ALIAS[PX]
^CHILDAGE
Fill: Roster.HHC.tblAge.bPerson[PX].AGE
If AGE ge 1, fill: AGE value
If AGE lt 1, fill: "is less
than 1"
^FOSTPARNAME
Fill:
Roster.HHC.tblName.bPerson[WHOFOST].ALIAS
^FOSTPARAGE
Fill: Roster.HHC.tblAge.bPerson[WHOFOST].AGE
Universe: if AGE of selected foster parent is LT age of child
Page 31 of 48
Question ID: ROS.0030.00.1
Variable name: ROSTERCHECK
Interview module: ROS(Roster)
Universe: PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS
and not all household members in the armed forces and HHCLock_flg ne 1
Question Text:
Response:
The roster will now be locked. If you are confident that it has been recorded
accurately, enter 1 to continue. Otherwise go back and correct now.
1.
Enter 1 to Continue
Skip Instructions: <1> If GEN.PCNTUNDER18 GT 0, [goto tblREL.WHOPAR]
if SURVTYPE=T and eligible adults [goto SELECT_SA]
elseif SURVTYPE=T and eligible children [goto SELECT_SC]
else [goto SASCSELECT]
Question ID: ROS.0080.00.1
Variable name: SELECT_SA
Interview module: ROS(Roster)
Universe: SURVTYPE=T and PCNTEligibleSA gt 0
Question Text:
Response:
Select the person you want for the Sample Adult.
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
Page 32 of 48
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Skip Instructions: If eligible children in household [goto SELECT_SC]
else [goto SASCSELECT]
Question ID: ROS.0090.00.1
Variable name: SELECT_SC
Interview module: ROS(Roster)
Universe: SURVTYPE=T and PCNTEligibleSC gt 0
Question Text:
Response:
Select the person you want for the Sample Child.
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
Page 33 of 48
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Skip Instructions: [goto SASCSELECT]
Question ID: FAM.0050.00.1
Variable name: ALLFAM
Interview module: FAM(Roster.FAM)
Universe: FX_REL_COUNT > 1
Question Text:
Response:
? [F1] Is everyone in this household a member of the same family? Read if
necessary: For this survey, a family is two or more people living together who are
related by birth, marriage, or adoption, as well as any unrelated children who are
cared for by the family, such as foster children, and any people living together as a
couple and their children.
1.
2.
DK:
RF:
Yes
No
Don't Know
Refused
Skip Instructions: IF (Roster.PCNTEligibleSA > 1 OR Roster.PCNTEligibleSC > 1) [goto
SASCID]
ELSE [goto procSetFAMILY_FLGs]
Page 34 of 48
Question ID: FAM.0060.00.1
Variable name: SASCID
Interview module: FAM(Roster.FAM)
Universe: Roster.PCNTEligibleSA > 1 OR (Roster.PCNTEligibleSA = 1 AND
Roster.PCNTEligibleSA_ButInAF >= 1) OR Roster.PCNTEligibleSC > 1 OR
(Roster.PCNTEligibleSC = 1 AND Roster.PCNTEligibleSC_ButInAF >= 1)
Question Text:
Response:
Fills:
One ^SASCID_fill randomly selected from every household in the survey to be
asked a series of health related questions. In this household, ^SASCID_fill2
chosen.
1.
Enter 1 to Continue
^SASCID_fill2
If PX_A gt 0 and PX_C gt 0 and HHRESPAVAIL =
PX_A, fill "you and ^SCNAME were"
elseif PX_A gt 0 and PX_C gt 0 and HHRESPAVAIL
ne PX_A, fill "^SANAME and ^SCNAME were"
elseif PX_A gt 0 and HHRESPAVAIL = PX_A, fill
"you were"
elseif PX_A gt 0 and HHRESPAVAIL ne PX_A, fill
"^SANAME was"
else fill "^SCNAME was"
^SASCID_fill
If PX_A gt 0 and PX_C gt 0, fill "adult and child are"
elseif PX_A gt 0, fill "adult is"
else fill "child is"
Skip Instructions: IF ALLFAM IN (2,RF,DK) AND PX_A > 0 AND PCNTFX_SA_AfterREL <
PCNT {Not everyone in same family, there's a SA, and not everyone's in SA's
famly} [goto FAMINTRO_SA]
ELSEIF ALLFAM IN (2,RF,DK) {Not everyone in same family (and there's a
SC)} [goto procSetFX_RELATE_SA]
ELSE [goto procSetFAMILY_FLGs]
Page 35 of 48
Question ID: FAM.0070.00.1
Variable name: FAMINTRO_SA
Interview module: FAM(Roster.FAM)
Universe: ALLFAM IN (2,DK,RF) AND PX_A > 0 AND PCNTFX_SA_AfterREL < PCNT
Question Text:
Response:
Fills:
^FAMINTRO_fill I will now ask you some questions about how other people in
this household are related to ^you_SA.
1.
Enter 1 to Continue
^you_SA
If HHRESPAVAIL eq PX_A, fill "you"
else fill "^ALIASNAME" of Sample Adult
^FAMINTRO_fill
If PCNTFAMAREL ge 2, fill "Based on questions I
asked you earlier, we have that ^SAFAM are in the
same family."
else leave fill empty.
Skip Instructions: <1> [goto tblRelate_SA.bPerson.RELATE for 1st non-deleted person on roster
with FX_REL[PX] ne FX_REL[PX_A]]
Question ID: FAM.0080.00.1
Question Text:
Response:
Variable name: RELATE
Interview module: FAM(Roster.FAM.tblRELATE_SA.bPe
What is ^yourALIAS relationship to ^youALIAS?
1.
2.
3.
4.
5.
6.
7.
8.
Spouse
Partner or Fiancee (including Boyfriend or Girlfriend)
In-law (e.g. daughter, son, brother, sister, mother, father-in-law)
Partner or Fiancee (Boyfriend or Girlfriend) of a member of ^SANAME 's
family
A family member of ^SANAME 's Partner or Fiancee (Boyfriend or
Girlfriend)
Child
Parent
Brother or Sister
Page 36 of 48
9.
10.
11.
12.
13.
14.
15.
16.
DK:
RF:
Fills:
Grandparent/grandchild (including great)
Aunt, Uncle, Niece, or Nephew (including great)
Cousin (including second/third/etc.)
Guardian or ward
Other relative
Housemate/Roommate/Person renting a room (Unrelated)
Works and lives here (Unrelated)
Other nonrelative
Don't Know
Refused
^youALIAS
If subject=respondent, fill "you";
else if subject ne respondent, fill "^ALIASNAME"
^relacion_fill
Spanish only
^yourALIAS
If PX=LNO_RESP fill "your";
else fill "^ALIASNAME's"
Skip Instructions: IF another family identified in FX_REL then [goto RELATE for 1st person in
that family]
ELSE [goto procSetFX_RELATE_SA]
Question ID: FAM.0140.00.1
Variable name: FAMINTRO_SC
Interview module: FAM(Roster.FAM)
Universe: ALLFAM IN (2,DK,RF) {Not everyone in same family} AND
(PX_C gt 0) {There's a SC} AND
((PX_A=0 AND PCNTFX_SC_AfterRELATE_SA lt PCNT) {No SA and not
everyone in SC's family} OR
(PX_A gt 0 AND FX_RELATESA[PX_C] <> FX_RELATESA[PX_A] AND
PCNTFX_SC_AfterRELATE_SA + PCNTFX_SA_AfterRELATE_SA < PCNT)
{SA/SC in separate families and not everyone in SA or SC's families} OR
(PX_A gt 0 AND FX_RELATESA[PX_C] = FX_RELATESA[PX_A] AND
(PCNTFX_SC_AfterRELATE_SA lt PCNT))
{SA/SC in same family and not everyone in that family})
Question Text:
I will now ask you some questions about who in this household is related to
^SCNAME. Based on questions I asked you earlier, we have that
^SCNames_fill related to ^SCNAME.
Response:
Page 37 of 48
1.
Fills:
Enter 1 to Continue
^SCNAME
Fill ALIAS of HHSTAT_C=1
^SCNames_fill
For all people with GEN.FAMILYC_FLG=1, fill with
their names.
Description: Person was identified as being in the
SC's family at WHOPAR/WHOFOST OR (Sample
Child is related to the Sample Adult and person on
roster was placed in Sample Adult's family based on
answer provided at RELATE), include their name as
part of the list of SC's family.
Do not Sample Child on list.
If
Household
Respondent
(Roster.HHC.HHRESPAVAIL) is on list of names, fill
"you" for name and place name at the beginning of
the list.
If only one person on the list of names and person
ne Roster.HHC.HHRESPAVAIL, follow list with "is".
If more than one person on the list or only one
person on list and person is Household Respondent
(Roster.HHC.HHRESPAVAIL), follow list with "are".
Skip Instructions: <1> [goto tblRelate_SC.bPerson.RELATE for 1st non-deleted person on roster
with FX_RELATESA[PX] ne FX_RELATESA[PX_A] and FX_RELATESA[PX]
ne FX_RELATESA[PX_C]]
Page 38 of 48
Question ID: FAM.0150.00.1
Question Text:
Response:
Variable name: RELATE
What is ^yourALIAS relationship to ^SCNAME?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
DK:
RF:
Fills:
Interview module: FAM(Roster.FAM.tblRELATE_SC.bPe
Spouse
Partner or Fiancee (including Boyfriend or Girlfriend)
In-law (e.g. daughter, son, brother, sister, mother, father-in-law)
Partner or Fiancee (Boyfriend or Girlfriend) of a member of ^SCNAME 's
family
A family member of ^SCNAME 's Partner or Fiancee (Boyfriend or
Girlfriend)
Child
Parent
Brother or Sister
Grandparent/grandchild (including great)
Aunt, Uncle, Niece, or Nephew (including great)
Cousin (including second/third/etc.)
Guardian or ward
Other relative
Housemate/Roommate/Person renting a room (Unrelated)
Works and lives here (Unrelated)
Other nonrelative
Don't Know
Refused
^yourALIAS
If PX=LNO_RESP fill "your";
else fill "^ALIASNAME's"
^SCNAME
Fill ALIAS of HHSTAT_C=1
Skip Instructions: IF another family identified in FX_RELATESA then [goto RELATE for 1st
person in that family]
ELSE [goto procSetFX_RELATE_SC]
Page 39 of 48
Question ID: FAM.0240.00.1
Variable name: KNOWSC
Interview module: FAM(Roster.FAM)
Universe: PX_C gt 0 and (PCNT_EligibleKNOWSC ge 2 or (PCNT_EligibleKNOWSC = 1
and auxPXOnlyAdult not IN Roster.tblREL.bPerson[PX_C].PARENTS))
Question Text:
Response:
Who lives here and is knowledgeable about and responsible for ^SCNAME's
health care? ^ANYONEELSE Enter all that apply, separate with commas.
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
DK:
RF:
^ALIASNAME[1]
^ALIASNAME[2]
^ALIASNAME[3]
^ALIASNAME[4]
^ALIASNAME[5]
^ALIASNAME[6]
^ALIASNAME[7]
^ALIASNAME[8]
^ALIASNAME[9]
^ALIASNAME[10]
^ALIASNAME[11]
^ALIASNAME[12]
^ALIASNAME[13]
^ALIASNAME[14]
^ALIASNAME[15]
^ALIASNAME[16]
^ALIASNAME[17]
^ALIASNAME[18]
^ALIASNAME[19]
^ALIASNAME[20]
^ALIASNAME[21]
^ALIASNAME[22]
^ALIASNAME[23]
^ALIASNAME[24]
^ALIASNAME[25]
Don't Know
Refused
Page 40 of 48
Fills:
^SCNAME
Fill ALIAS of HHSTAT_C=1
^ANYONEELSE
If PCNT_EligibleKNOWSC
necessary: Anyone else?"
>
1
fill:
"Read
if
Skip Instructions: [goto NOFAMSC]
<1-25>
IF
Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS
IN
(1,RF,DK)
and
(PX_A
ne
Roster.HHC.HHRESPAVAIL)
[goto
ONCAMPINTRO_A]
ELSE [goto CASESTATUS]
Question ID: FAM.0250.00.1
Variable name: NOFAMSC
Interview module: FAM(Roster.FAM)
Universe: PX_C gt 0 AND (PCNT_EligibleKNOWSC = 0 OR KNOWSC IN (DK,RF))
Question Text:
Because there are no adults who are related to ^SCNAME living in this household, or
respondent refused or did not know who was knowledgeable about and responsible
for ^SCNAME's health care, the Sample Child Interview cannot be completed. Not
everyone in our survey is asked all questions. I have all the information that I
need from you about ^SCNAME.
Enter '1' to continue.
Response:
Fills:
^SCNAME
Fill ALIAS of HHSTAT_C=1
Skip Instructions: <1> if Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK)
and (PX_A ne Roster.HHC.HHRESPAVAIL) [goto ONCAMPINTRO_A]
elseif PX_A > 0 {there is a Sample Adult} [goto CASESTATUS]
else [goto BCK.THANKS_SUF]
Page 41 of 48
Question ID: FAM.0260.00.1
Variable name: ONCAMPINTRO_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Fills:
As I previously mentioned ^SANAME was randomly selected to be asked a
series of health related questions. We would like to contact ^himherthem to
complete ^hishertheir portion of this interview.
1.
Enter 1 to Continue
^SANAME
Sample Adult's name
^himherthem
If GEN.SEX_FINAL=1 fill "him";
else if GEN.SEX_FINAL=2 fill "her";
else if GEN.SEX_FINAL IN (DK, RF) fill "them"
^hishertheir
If GEN.SEX_FINAL=1 fill "his";
else if GEN.SEX_FINAL=2 fill "her";
else if GEN.SEX_FINAL IN (DK, RF) fill "their"
Skip Instructions: <1>[goto TLNO_FAM_DRM]
Question ID: FAM.0280.00.1
Variable name: ONCAMPLNAME
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Fills:
Ask or verify: What is ^SANAME's last name?
DK:
RF:
Don't Know
Refused
^SANAME
Sample Adult's name
Page 42 of 48
Skip Instructions: [goto ONCAMPADD1_A]
Question ID: FAM.0290.01.1
Variable name: ONCAMPADD1_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Fills:
What is ^SANAME's exact mailing address on campus? Enter the house or
building number, house or building number suffix and street name.
DK:
RF:
Don't Know
Refused
^SANAME
Sample Adult's name
Skip Instructions: [goto ONCAMPADD2_A]
Question ID: FAM.0290.02.1
Variable name: ONCAMPADD2_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Enter the unit description.
DK:
RF:
Don't Know
Refused
Skip Instructions: [goto ONCAMPPO_A]
Page 43 of 48
Question ID: FAM.0290.03.1
Variable name: ONCPUNTDES_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Enter the correct unit designation or press "ENTER" if there is none.
DK:
RF:
Don't Know
Refused
Skip Instructions: [goto ONCAMPPO_A]
Question ID: FAM.0290.04.1
Variable name: ONCAMPPO_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Enter the city.
DK:
RF:
Don't Know
Refused
Skip Instructions: [goto ONCAMPST_A]
Question ID: FAM.0290.05.1
Variable name: ONCAMPST_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Enter the state.
DK:
RF:
Don't Know
Refused
Page 44 of 48
Skip Instructions: [goto ONCAMPZIP5_A]
Question ID: FAM.0290.07.1
Variable name: ONCAMPZIP5_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Enter the zip code.
DK:
RF:
Don't Know
Refused
Skip Instructions: <01001-99996, RF, DK, empty>
if ONCAMPZIP5_A lt 5 characters [goto ERR1_ONCAMPZIP5_A]
elseif ONCAMPZIP5_A lt 01001 [goto ERR2_ONCAMPZIP5_A]
elseif (ONCAMPZIP5_A gt 99996 and SURVTYPE ne T) or (ONCAMPZIP5_A
gt
99997 and SURVTYPE=T) [goto ERR3_ONCAMPZIP5_A]
else [goto ONCAMPZIP4_A]
Check Name: ERR1_ONCAMPZIP5_A
Text:
{check ERR1_ONCAMPZIP5_A}
correct.
Hard / Soft Edit: Hard
Universe: ONCAMPZIP5_A lt 5 characters
Page 45 of 48
The entire zip code must be entered.
Please
Check Name: ERR2_ONCAMPZIP5_A
Text:
{check ERR2_ONCAMPZIP5_A}
correct.
A valid zip code must be entered.
Please
Hard / Soft Edit: Hard
Universe: ONCAMPZIP5_A lt 1001
Check Name: ERR3_ONCAMPZIP5_A
Text:
{check ERR3_ONCAMPZIP5_A}
correct.
A valid zip code must be entered.
Please
Hard / Soft Edit: Hard
Universe: if (ONCAMPZIP5_A gt 99996 and SURVTYPE ne 'T') or (ONCAMPZIP5_A gt
99997 and SURVTYPE='T')
Question ID: FAM.0290.08.1
Variable name: ONCAMPZIP4_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Enter the zip 4.
DK:
RF:
Don't Know
Refused
Skip Instructions: <0000-9997, RF, DK, empty>
if ONCAMPZIP4_A lt 4 characters [goto ERR1_ONCAMPZIP4_A]
elseif (ONCAMPZIP4_A gt 9996 and SURVTYPE ne T) or (ONCAMPZIP4_A
gt 9997 and SURVTYPE=T) [goto ERR2_ONCAMPZIP4_A]
else [goto ONCAMPADDR_A]
Page 46 of 48
Check Name: ERR1_ONCAMPZIP4_A
Text:
{check ERR1_ONCAMPZIP4_A}
correct.
The entire zip code must be entered.
Please
Hard / Soft Edit: Hard
Universe: ONCAMPZIP4_A lt 4 characters
Check Name: ERR2_ONCAMPZIP4_A
Text:
{check ERR2_ONCAMPZIP4_A}
correct.
A valid zip code must be entered.
Please
Hard / Soft Edit: Hard
Universe: if (ONCAMPZIP4_A gt 9996 and SURVTYPE ne 'T') or (ONCAMPZIP4_A gt
9997 and SURVTYPE='T')
Question ID: FAM.0300.00.1
Variable name: ONCAMPADDR_A
Interview module: FAM(Roster.FAM)
Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and
(PX_A ne Roster.HHC.HHRESPAVAIL)
Question Text:
Response:
Fills:
Please confirm the following information about the Sample Adult living on campus:
Name: ^SANAME Phone Number: ^ONCAMPPHONE_fill Address:
^ONCAMPADD1_A_fill ^ONCAMPADD2_A_fill ^ONCAMPPO_A_fill,
^ONCAMPST_A_fill ^ONCAMPZIP5_A_fill - ^ONCAMPZIP4_A_fill
1.
Enter 1 to Continue
^SANAME
Sample Adult's name
^ONCAMPPHONE_fill
Fill the phone number associated with the
on-campus
SA
from
bContact.arrayPhones[Roster.FAM.TLNO_FAM_DR
M].DisplayString
^ONCAMPADD1_A_fill
Fillvalue fromONCAMPADD1_A
^ONCAMPADD2_A_fill
Fill value fromONCAMPADD2_A
^ONCAMPPO_A_fill
Fillvalue from ONCAMPPO_A
Page 47 of 48
^ONCAMPST_A_fill
Fill valuefrom ONCAMPST_A
^ONCAMPZIP5_A_fill
Fillvalue fromONCAMPZIP5_A
^ONCAMPZIP4_A_fill
Fillvaluefrom atONCAMPZIP4_A
Skip Instructions: <1> [goto CASESTATUS]
Page 48 of 48
| File Type | application/pdf |
| File Modified | 2020-09-23 |
| File Created | 2020-09-23 |