2024 NHIS Roster Questionnaire

[NCHS] National Health Interview Survey

Att 9a - 2024 NHIS Roster Questionnaire 10-24-2023

OMB: 0920-0214

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Question ID: ROS.0020.00.1

Variable name: HHCLock

Interview module: ROS(Roster)

Universe: HHCLock_flg eq 1
Universe Description: HHC section has been locked.
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 SASCSELECTION]

Question ID: HHC.0020.00.1

Variable name: NAME_FNAME

Interview module: HHC(Roster.HHC.tblNAME.blkPerson

Inherited Universe: HHClock_flg ne 1
Universe: ALL
Universe Description: All persons
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?"

Page 1 of 55

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 PX=01 [goto ERR1_NAME_FNAME]
else [goto USUALRES]
 [goto ALIAS]

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
Inherited Universe: HHClock_flg ne 1
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
Inherited Universe: HHClock_flg ne 1
Universe: NAME_FNAME IN
REFUSED
WOMAN
MAN
LADY
ANONYMOUS
BOY
GIRL
MRS
MR
MS
MISS
FEMALE
Page 2 of 55

MALE
MISTER
CHILD
KID
DAUGHTER
DAU
SON
PERSON
HUSBAND
WIFE
MOTHER
FATHER
ADULT
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" Inherited Universe: HHClock_flg ne 1 Universe: if NAME_FNAME is identical to any other NAME_FNAME or ALIAS Page 3 of 55 Question ID: HHC.0030.00.1 Variable name: NAME_LNAME Interview module: HHC(Roster.HHC.tblNAME.blkPerson Inherited Universe: HHClock_flg ne 1 Universe: NAME_FNAME not in (999,RF,DK) Universe Description: A valid first name was entered 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] Question ID: HHC.0040.00.1 Variable name: ALIAS Interview module: HHC(Roster.HHC.tblNAME.blkPerson Inherited Universe: HHClock_flg ne 1 Universe: NAME_FNAME IN (RF,DK) Universe Description: Persons who don't know or refused to give first name. 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] Page 4 of 55 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" Inherited Universe: HHClock_flg ne 1 Universe: if ALIAS is identical to any other NAME_FNAME or ALIAS Check Name: ERR2_ALIAS Text: {check ERR2_ALIAS} *999 not allowed as an alias. *Please correct Hard / Soft Edit: Hard Inherited Universe: HHClock_flg ne 1 Universe: ALIAS = 999 Universe Description: 999 is entered at ALIAS Page 5 of 55 Question ID: HHC.0050.00.1 Variable name: USUALRES Interview module: HHC(Roster.HHC.tblURE.blkPerson) Inherited Universe: HHClock_flg ne 1 Universe: NAME_FNAME ne 999 Universe Description: All persons where 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 6 of 55 Question ID: HHC.0060.00.1 Variable name: ASKURE Interview module: HHC(Roster.HHC.tblURE.blkPerson) Inherited Universe: HHClock_flg ne 1 Universe: USUALRES IN (2,RF,DK) Universe Description: If the usual residence is not here, or respondent refused or didn't know 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] Page 7 of 55 Question ID: HHC.0070.00.1 Variable name: USUALSCHOOL Interview module: HHC(Roster.HHC.tblURE.blkPerson) Inherited Universe: HHClock_flg ne 1 Universe: USUALRES IN (2,DK,RF) and ASKURE=1 Universe Description: Person does not usually live in household and usual residence is elsewhere Question Text: Response: Fills: ^AreIs ^youALIAS usually away at school or college? 1. 2. DK: RF: 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] Page 8 of 55 Question ID: HHC.0080.00.1 Variable name: ONOFFCAMPUS Interview module: HHC(Roster.HHC.tblURE.blkPerson) Inherited Universe: HHClock_flg ne 1 Universe: USUALRES IN (2,DK,RF) and ASKURE=1 and USUALSCHOOL=1 Universe Description: Person's usual residence is not in the household and person has a usual residence other than the place of interview and lives away at school or college 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" 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] Page 9 of 55 Question ID: HHC.0090.00.1 Variable name: MISPERS_MCHILD Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: TOTPCNT < 25 Universe Description: Less than 25 persons listed on roster 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 If PCNT ne 0, fill: I have listed the household members as... ^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 10 of 55 Question ID: HHC.0140.00.1 Variable name: MISPERS_MSCHOOL Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: TOTPCNT < 25 Universe Description: Less than 25 persons listed on roster 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 Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: MISPERS_MSCHOOL = 1 Universe Description: Missed household member who is now away at school at college Page 11 of 55 Question ID: HHC.0160.00.1 Variable name: MISPERS_MELSE Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: TOTPCNT < 25 Universe Description: Less than 25 persons listed on roster 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) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: GEN.PCNT GT 1 OR (PCNT=1 and HHSTAT_D[1]=1) Universe Description: All households with more than one non-deleted person OR there is only one non-deleted person in the household and deleted person is first person on roster and first person on the roster was answering for the household but does not usually live there. Question Text: 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. Response: Page 12 of 55 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. ^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 not IN HHRESP [goto HHRESPAVAIL] One Person selected at HHRESP and that person has HHSTAT_D=1 [goto HHRESPPROXY] else [goto tblSex.bPerson.SEX] Page 13 of 55 Question ID: HHC.0190.00.1 Variable name: HHRESPAVAIL Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: 1 not IN HHRESP Universe Description: Person to whom you are speaking (LNO=1) is not knowledgeable 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. 03. 04. 05. 06. 07. 08. 09. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. ^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] Page 14 of 55 25. Fills: ^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] Question ID: HHC.0200.00.1 Variable name: HHRESPPROXY Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: Person selected at HHRESP or HHRESPAVAIL has HHSTAT_D=1 Universe Description: Person selected at HHRESP or HHRESPAVAIL has been deleted from the roster. 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" Page 15 of 55 Skip Instructions: <1> [goto tblSex.bPerson.SEX] <2,RF,DK> [goto ERR_HHRESPPROXY] Check Name: ERR_HHRESPPROXY Text: {signal ERR_HHRESPPROXY} Person was deleted from this household. Hard / Soft Edit: Soft Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: HHRESPROXY in (2,RF,DK) Universe Description: Available respondent is not a caregiver Question ID: HHC.0210.00.1 Variable name: SEX Interview module: HHC(Roster.HHC.tblSEX.blkPerson) Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND (HHSTAT_D[PX]=empty)) Universe Description: All nondeleted persons Question Text: Response: Fills: Some of the questions in this survey are about topics like breast and prostate cancer, so it is important to know which questions apply. ^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" Page 16 of 55 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 Variable name: AGENO Interview module: HHC(Roster.HHC.tblAGE.blkPerson) Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND (HHSTAT_D[PX]=empty)) Universe Description: All nondeleted persons Question Text: Response: Fills: 1 of 2 What is ^yourALIAS age? DK: RF: 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] Question ID: HHC.0220.02.1 Variable name: AGETP Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND (HHSTAT_D[PX]=empty)) Universe: AGENO[PX]=001-120 Universe Description: Valid number entered at AGENO[PX] Question Text: 2 of 2 Enter number for age time period. Response: Page 17 of 55 Interview module: HHC(Roster.HHC.tblAGE.blkPerson) 1. 2. 3. 4. 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) Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND (HHSTAT_D[PX]=empty)) Universe: AGENO IN (DK,RF) Universe Description: Refused or did not know age 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 18 of 55 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) Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND (HHSTAT_D[PX]=empty)) Universe: AGE18=2 Universe Description: No numerical age provided and person is 18 or over 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] Page 19 of 55 Question ID: HHC.0250.00.1 Variable name: AGEGUESS Interview module: HHC(Roster.HHC.tblAGE.blkPerson) Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND (HHSTAT_D[PX]=empty)) Universe: AGE18=RF,DK Question Text: Response: Fills: Use your judgement to guess if ^ALIASNAME is less than 18 or 18 or older. 1. 2. 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 Variable name: NATORG Interview module: HHC(Roster.HHC.tblNATORG.blkPers Inherited Universe: (HHSTAT_D[PX]=empty) AND ((HHClock_flg ne 1) AND ((PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS) AND (HHSTAT_D[PX]=empty))) Universe Description: All nondeleted persons Question Text: Response: ^NATORGAGE 1. 2. DK: RF: Yes No Don't Know Refused Page 20 of 55 Fills: ^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 Variable name: RACE Interview module: HHC(Roster.HHC.tblRACE.blkPerson Inherited Universe: (HHClock_flg ne 1) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS) Universe Description: All nondeleted persons Question Text: Response: Fills: ^RACEAGE ^RACEFILL 1. 2. 3. 4. 5. 6. 7. 8. DK: RF: Enter all that apply, separate with commas. White 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? Page 21 of 55 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] Question ID: HHC.0310.00.1 Variable name: RACE_SP Interview module: HHC(Roster.HHC.tblRACE.blkPerson Inherited Universe: (HHClock_flg ne 1) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS) Universe: 8 IN RACE Universe Description: Person identifies as some other 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] Page 22 of 55 Question ID: HHC.0320.00.1 Variable name: RACE_VRBAT Interview module: HHC(Roster.HHC.tblRACE.blkPerson Inherited Universe: (HHClock_flg ne 1) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS) Universe: 8 IN RACE and ZZ in RACE_SP Universe Description: Person identifies as some other race and Interviewer does not use pick-list to select this race Question Text: Response: Fills: Read if necessary. ^RACESPAGE 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] Question ID: HHC.0330.00.1 Variable name: AFNOW Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and PCNTAGEAF gt 0 Universe Description: At least one person in the household is greater than 18 and at least one person's age is not guessed and at least one non-deleted person age 17-64 years old or who is greater than or equal to 18 or whose age was guessed to be greater than or equal to 18 Question Text: ^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. Response: Page 23 of 55 1. 2. DK: RF: Fills: 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] Question ID: HHC.0340.00.1 Variable name: AFNOWWHO Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: GEN.PCNTAGEAF GT 1 and AFNOW=1 Universe Description: At least 1 person in the Armed Forces & more than 1 person eligible to be in the Armed Forces Question Text: Response: Who is this? (Anyone else?) 01. 02. 03. 04. 05. Enter all that apply, separate with commas. ^ALIASNAME[1] ^ALIASNAME[2] ^ALIASNAME[3] ^ALIASNAME[4] ^ALIASNAME[5] Page 24 of 55 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: <1-25> if all PX have GEN.HHSTAT_D=1 or GEN.HHSTAT_M = 1 [goto EXIT] else [goto EDUC] Question ID: HHC.0350.00.1 Variable name: EDUC Interview module: HHC(Roster.HHC.tblEDUC.blkPerson Inherited Universe: (GEN.HHSTAT_D NE 1 and Roster.HHC.tblAGE.bPerson.AGE18PLUS=1) AND ((HHClock_flg ne 1) AND ((PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (GEN.HHSTAT_D NE 1 and Roster.HHC.tblAGE.bPerson.AGE18PLUS=1))) Universe Description: All non-deleted persons flagged as aged 18+ Question Text: What is the HIGHEST level of school ^youALIAS ^havehas completed or the highest degree ^youALIAS ^havehas received? Enter highest level of school completed. Response: Page 25 of 55 0. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. DK: RF: Fills: 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] Question ID: HHC.0360.00.1 Variable name: EXIT Interview module: HHC(Roster.HHC) Inherited Universe: (HHClock_flg ne 1) AND (HHClock_flg ne 1) Universe: (all PX have HHSTAT_D = 1 or HHSTAT_M = 1) or (PNCTAGEGUESS = PCNT) or (PCNT18PLUS = 0) Universe Description: All armed forces, all usual residence elsewhere, all under age 18, all where aged is guessed Question Text: 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. Response: Page 26 of 55 1. Enter 1 to Continue Skip Instructions: <1> [goto BCK.WHOREADLTR] Question ID: REL.0010.00.1 Variable name: WHOPAR Interview module: REL(Roster.tblREL.blkPerson) Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe Description: All persons with age less than 18 years old or age was guessed or reported to be less than 18 Question Text: Response: 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. 10. 11. No biological, step, or adoptive parents ^ALIASNAME[1] ^ALIASNAME[2] ^ALIASNAME[3] ^ALIASNAME[4] ^ALIASNAME[5] ^ALIASNAME[6] ^ALIASNAME[7] ^ALIASNAME[8] ^ALIASNAME[9] ^ALIASNAME[10] ^ALIASNAME[11] Page 27 of 55 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. DK: RF: Fills: ^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] ^AGEDIFF Fill value from Roster.REL.AGEDIFF[PX] Page 28 of 55 ^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" Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: If AGEDIFF LT 15 Universe Description: Age difference between parent and child less than 15 years 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" Page 29 of 55 Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: AGEDIFF GE 50 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" Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: if AGE of selected parent is LT age of child Page 30 of 55 Check Name: ERR4_WHOPAR Text: {check ERR4_WHOPAR} Please correct. Invalid entry. Cannot mark 0 and a valid line number. Hard / Soft Edit: Hard Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: If <0> selected with any other value at WHOPAR Question ID: REL.0030.00.1 Variable name: FOSTPAR Interview module: REL(Roster.tblREL.blkPerson) Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: WHOPAR IN (0,RF,DK) Universe Description: Child has no parents identified 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] Page 31 of 55 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) Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: FOSTPAR=1 Universe Description: Child is in foster care 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. 07. 08. 09. 10. 11. 12. 13. 14. 15. ^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] Page 32 of 55 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. DK: RF: Fills: ^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] 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 Page 33 of 55 ^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] Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: If AGEDIFF LT 15 Universe Description: Age difference between foster parent and child less than 15 years 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 Page 34 of 55 ^FOSTPARAGE Fill: Roster.HHC.tblAge.bPerson[WHOFOST].AGE Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (AGEUNDER18=1)) Universe: AGEDIFF GE 50 Universe Description: Age difference greater than or equal to 50 years 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 Inherited Universe: (AGEUNDER18=1) AND ((PCNT18PLUS gt 0 and PCNTUNDER18 gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND Page 35 of 55 (AGEUNDER18=1)) Universe: if AGE of selected foster parent is LT age of child 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 Universe Description: At least one person in the household is greater than 18 and there is at least one child in the household and at least one person's age is not guessed and not all household members in the armed forces and the HHC section has not been locked. 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 SASCSELECTION] Question ID: ROS.0080.00.1 Variable name: SELECT_SA Interview module: ROS(Roster) Universe: SURVTYPE=T and PCNTEligibleSA gt 0 Universe Description: Training Cases and at least one person eligible to be Sample Adult Question Text: Response: Select the person you want for the Sample Adult. 01. 02. ^ALIASNAME[1] ^ALIASNAME[2] Page 36 of 55 03. 04. 05. 06. 07. 08. 09. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. ^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: If eligible children in household [goto SELECT_SC] else [goto SASCSELECTION] Question ID: ROS.0090.00.1 Variable name: SELECT_SC Interview module: ROS(Roster) Universe: SURVTYPE=T and PCNTEligibleSC gt 0 Universe Description: Training Cases and at least one person eligible to be the Sample Child Question Text: Select the person you want for the Sample Child. Response: Page 37 of 55 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. ^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: [goto SASCSELECTION] Question ID: FAM.0050.00.1 Variable name: ALLFAM Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: FX_REL_COUNT > 1 Universe Description: The number of unique families as identified in REL section is greater than 1 Question Text: ? [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. Response: Page 38 of 55 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] Question ID: FAM.0060.00.1 Variable name: SASCID Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) 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) Universe Description: Count of all persons eligible to be SA is greater than 1 or count of all persons eligible to be SC is greater than 1 or there are multiple adults or children in the family but only 1 adult or child is eligible to be the SA or SC because the others are in the Armed Forces. 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" Page 39 of 55 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] Question ID: FAM.0070.00.1 Variable name: FAMINTRO_SA Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: ALLFAM IN (2,DK,RF) AND PX_A > 0 AND PCNTFX_SA_AfterREL < PCNT Universe Description: Not everyone in same family, there’s a SA, and not everyone’s in SA’s family 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 IfPCNTFX_SA_AFTERREL 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]] Page 40 of 55 Question ID: FAM.0080.00.1 Variable name: RELATE Interview module: FAM(Roster.FAM.tblRELATE_SA.bPe Inherited Universe: (HHSTAT_D eq empty AND FX_REL[PX] ne FX_REL[PX_A] (but only until someone in the family is related to the Sample Adult)) AND ((PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND ((ALLFAM IN (2,DK,RF) AND PX_A > 0 AND PCNTFX_SA_AfterREL < PCNT) AND (HHSTAT_D eq empty AND FX_REL[PX] ne FX_REL[PX_A] (but only until someone in the family is related to the Sample Adult)))) Question Text: Response: What is ^yourALIAS relationship to ^youALIAS? 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. DK: RF: Fills: 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 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" Page 41 of 55 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) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) 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}) Universe Description: Not everyone in same family and there is a SC, and there is no SA and not everyone in SC's family or SA/SC in separate families and not everyone in SA or SC's families or SA/SC in same family and not everyone in that family Question Text: Response: Fills: 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. 1. 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. Page 42 of 55 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]] Question ID: FAM.0150.00.1 Variable name: RELATE Interview module: FAM(Roster.FAM.tblRELATE_SC.bPe Inherited Universe: (HHSTAT_D eq empty AND (FX_RELATE_SA[PX] ne FX_RELATE[PX_A]) and (FX_RELATE_SA[PX] ne FX_RELATE[PX_C]) (but only until someone in the family is related to the Sample Child)) AND ((PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND ((ALLFAM IN (2,DK,RF) {Not everyone in same family} AND (PX_C > 0) {There's a SC} AND ((PX_A = 0 AND PCNTFX_SC_AfterRELATE_SA < PCNT) {No SA and not everyone in SC's family} OR (PX_A > 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 > 0 AND FX_RELATESA[PX_C] = FX_RELATESA[PX_A] AND (PCNTFX_SC_AfterRELATE_SA < PCNT)) {SA/SC in same family and not everyone in that family})) AND (HHSTAT_D eq empty AND (FX_RELATE_SA[PX] ne FX_RELATE[PX_A]) and (FX_RELATE_SA[PX] ne FX_RELATE[PX_C]) (but only until someone in the family is related to the Sample Child)))) Question Text: What is ^yourALIAS relationship to ^SCNAME? Response: Page 43 of 55 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. DK: RF: Fills: 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 44 of 55 Question ID: FAM.0240.00.1 Variable name: KNOWSC Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: PX_C gt 0 and (PCNT_EligibleKNOWSC ge 2 or (PCNT_EligibleKNOWSC = 1 and auxPXOnlyAdult not IN Roster.tblREL.bPerson[PX_C].PARENTS)) Universe Description: There's a SC and either multiple eligible adults or only one eligible adult but that person is not a parent of the SC 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. ^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] Page 45 of 55 21. 22. 23. 24. 25. DK: RF: Fills: ^ALIASNAME[21] ^ALIASNAME[22] ^ALIASNAME[23] ^ALIASNAME[24] ^ALIASNAME[25] Don't Know Refused ^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) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: PX_C gt 0 AND (PCNT_EligibleKNOWSC = 0 OR KNOWSC IN (DK,RF)) Universe Description: No one is knowledgeable about and responsible for the sample child's health or don't know or refused to identify knowledgeable person 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: Page 46 of 55 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] Question ID: FAM.0260.00.1 Variable name: ONCAMPINTRO_A Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not the Household Respondent 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" Page 47 of 55 Skip Instructions: <1>[goto TLNO_FAM_DRM] Question ID: FAM.0280.00.1 Variable name: ONCAMPLNAME Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: Fills: Ask or verify: What is ^SANAME's last name? DK: RF: Don't Know Refused ^SANAME Sample Adult's name Skip Instructions: [goto ONCAMPADD1_A] Question ID: FAM.0290.01.1 Variable name: ONCAMPADD1_A Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: 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 Page 48 of 55 Fills: ^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) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: Enter the unit description. 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) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: Enter the city. DK: RF: Don't Know Refused Page 49 of 55 Skip Instructions: [goto ONCAMPST_A] Question ID: FAM.0290.05.1 Variable name: ONCAMPST_A Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: Enter the state. DK: RF: Don't Know Refused Skip Instructions: [goto ONCAMPZIP5_A] Question ID: FAM.0290.07.1 Variable name: ONCAMPZIP5_A Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: Enter the zip code. DK: RF: Don't Know Refused Page 50 of 55 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. The entire zip code must be entered. Please Hard / Soft Edit: Hard Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: ONCAMPZIP5_A lt 5 characters Universe Description: ONCAMPZIP5_A must have a length of 5 Check Name: ERR2_ONCAMPZIP5_A Text: {check ERR2_ONCAMPZIP5_A} correct. A valid zip code must be entered. Please Hard / Soft Edit: Hard Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: ONCAMPZIP5_A lt 1001 Universe Description: ONCAMPZIP5_A must be greater than or equal to 01001 Page 51 of 55 Check Name: ERR3_ONCAMPZIP5_A Text: {check ERR3_ONCAMPZIP5_A} correct. A valid zip code must be entered. Please Hard / Soft Edit: Hard Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: if (ONCAMPZIP5_A gt 99996 and SURVTYPE ne 'T') or (ONCAMPZIP5_A gt 99997 and SURVTYPE='T') Universe Description: ONCAMPZIP5_A greater than 99996 when it is not a training case or ONCAMPZIP5_A greater than 99997 when it is a training case Question ID: FAM.0290.08.1 Variable name: ONCAMPZIP4_A Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent Question Text: Response: Enter the zip 4. DK: RF: Don't Know Refused Page 52 of 55 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] Check Name: ERR1_ONCAMPZIP4_A Text: {check ERR1_ONCAMPZIP4_A} correct. The entire zip code must be entered. Please Hard / Soft Edit: Hard Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: ONCAMPZIP4_A lt 4 characters Universe Description: ONCAMPZIP4_A must have a length of 4 Check Name: ERR2_ONCAMPZIP4_A Text: {check ERR2_ONCAMPZIP4_A} correct. A valid zip code must be entered. Please Hard / Soft Edit: Hard Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: if (ONCAMPZIP4_A gt 9996 and SURVTYPE ne 'T') or (ONCAMPZIP4_A gt 9997 and SURVTYPE='T') Universe Description: ONCAMPZIP4_A greater than 9996 when it is not a training case or ONCAMPZIP4_A greater than 9997 when it is a training case Page 53 of 55 Question ID: FAM.0300.00.1 Variable name: ONCAMPADDR_A Interview module: FAM(Roster.FAM) Inherited Universe: (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) AND (PCNT18PLUS gt 0 and PCNT gt PCNTAGEGUESS and not all household members in the armed forces) Universe: Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) and (PX_A ne Roster.HHC.HHRESPAVAIL) Universe Description: Sample Adult lives on campus or don't know or refuse and Sample Adult is not Household Respondent 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 ^ONCAMPST_A_fill Fill valuefrom ONCAMPST_A ^ONCAMPZIP5_A_fill Fillvalue fromONCAMPZIP5_A ^ONCAMPZIP4_A_fill Fillvaluefrom atONCAMPZIP4_A Page 54 of 55 Skip Instructions: <1> [goto CASESTATUS] Page 55 of 55
File Typeapplication/pdf
AuthorKing, Summer (CDC/DDPHSS/NCHS/OD)
File Modified2023-10-24
File Created2023-09-29

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