Attachment K Content Followup Materials

American Community Survey Methods Panel Tests

Attachment K Content Followup Materials

OMB: 0607-0936

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0607-0936 can be found here:

2024-07-12 - No material or nonsubstantive change to a currently approved collection

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Atachment K: Content Followup Materials

CFU Preno�ce First Mailing (Internet Respondents) …………………………………..Pages 2 and 3
CFU Preno�ce Reminder (Internet Respondents) ……………………………………… Pages 4 and 5
CFU Reminder Email (Internet Respondents) ……………………………………………. Page 6
CFU Preno�ce Mailing (Mail Respondents) ………………………………………………. Pages 7 and 8
CFU Internet Wording (English) ……………………………………………………………….. Pages 9 through 13
CFU Internet Wording (Spanish) ……………………………………………………………….. Pages 14 through 18
CFU Telephone Wording (English) ……………………………………………………………. Pages 19 through 25

Attachment K: CFU Prenotice First Mailing (Internet Respondents)

U.S. Census Bureau
Washington, DC 20233
Ofﬁce of the Director

Dear [NAME of RESPONDENT/OTHER HOUSEHOLD MEMBER]:
Either you or someone in your household recently completed the American Community Survey.
Thank you! For quality assurance purposes, we would like you to answer a few follow-up questions.
Your participation will help improve the accuracy of the survey data.
We would like you to answer the follow-up questions even if you were not the person who
replied to the initial survey. It should only take about 15 minutes to complete the questions.

Person to respond: [SAME NAME AS ABOVE]
Please respond now at respond.census.gov/acs
Log in with this user ID: [USER ID]
Your response to this follow-up survey is required by U.S. law. The Census Bureau is
required by law to keep your information confidential.
To avoid future contacts from us, please respond as soon as possible. If you need help
completing the survey or have questions, please call 1–888–715–2301. Thank you for
helping improve this important survey.
Sincerely,

Robert L. Santos
Director, U.S. Census Bureau

Nota: Queremos que la persona que se menciona anteriormente responda algunas preguntas de seguimiento de
la Encuesta sobre la Comunidad Estadounidense. Solo debe tomar unos 15 minutos responder. Para responder
las preguntas en español, visite respond.census.gov/acs. Haga clic en "Responder en español". Si necesita
ayuda en español, llame al 1–877–833–5625.
census.gov/acs

DC
U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

Follow-Up
Response Required

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

Attachment K: CFU Prenotice Reminder (Internet Respondents)

U.S. Census Bureau
Washington, DC 20233
Ofﬁce of the Director

Dear [NAME of RESPONDENT/OTHER HOUSEHOLD MEMBER]:
Time is running out to answer the follow-up questions to the American Community Survey.
It should only take about 15 minutes to complete the questions. If you have already responded,
thank you. If not, please respond now.
Please complete the follow-up survey by [DUE DATE].

Person to respond: [SAME NAME AS ABOVE]
Go to respond.census.gov/acs
Log in with this user ID: [USER ID]
Your response to this follow-up survey is required by U.S. law.
If you need help completing the survey or have questions, please call 1–888–715–2301.
Thank you for helping improve this important survey.
Sincerely,

Robert L. Santos
Director, U.S. Census Bureau

DC
U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

Follow-Up Response Due:
[DUE DATE]

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

SUBJECT LINE: Response Required: Complete Your Census Bureau Follow-Up Survey

Attachment K: CFU Reminder Email (Internet Respondents)

United States®

ensus
Bureau

Reminder to Complete the Census Bureau's
Follow-Up Questions to the

American Community Survey
Time is running out to complete the follow-up questions to the American Community Survey.
It should only take about 15 minutes to answer the questions.
Your participation will help us improve the accuracy of the survey data.

Click here to respond. Enter your User ID:

to begin.

If you need help completing the survey or have questions, please call 1-888-715-2301.

BEGIN SURVEY

Thank you for your time and cooperation.

Para responder las preguntas en espanol, haga clic en "Responder en espanol".
Si necesita ayuda en espanol, llame al 1-877- 833- 5625.

Attachment K: CFU Prenotice Mailing (Mail Respondents)

U.S. Census Bureau
Washington, DC 20233
Ofﬁce of the Director

Message from the Director of the U.S. Census Bureau:
Thank you for completing the American Community Survey. For quality assurance purposes,
we would like you to answer a few follow-up questions. Your participation will help improve
the accuracy of the survey data.
A Census Bureau interviewer will call soon to complete the follow-up survey by phone
with a specific member of your household. It should only take about 15 minutes to answer
the follow-up questions.
Your response to this follow-up survey is required by U.S. law. The Census Bureau is
required by law to keep your information confidential.
If you have questions or would like to call in to answer the follow-up questions, please call
1–800–759–4721.
Thank you for helping improve this important survey.
Sincerely,

Robert L. Santos

ID #: NNN - NNN - NNN
census.gov/acs

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

Follow-Up
Response Required

ACS-CFUPS(2024) (12-12-2023)

Attachment K: CFU Internet Wording (English)
SOGI Content Followup Questions: Internet (English)
For the 2024 Sexual Orientation and Gender Identity (SOGI) Content Test, the Content Followup (CFU)
reinterview will ask a subset of the questions from SOGI self-response.

Table 1. Screens in Scope for CFU-Internet
Topic
Household Roster
Age
Hispanic Origin
Race
Place of Birth
Educational Attainment
Health Insurance Coverage
Marital Status and History
Income
Relationship
Disability
Fertillity
Sex at Birth
Current Gender
Sexual Orientation
Same/Different Respondent
Research Questions
Additional screens

Screen Name(s)
resp_name, roster_a, roster_b, add_1, roster_c, add_2, away_now,
remove_one, another_home, another_home_who, more_than_2,
roster_check
date of birth and age
hispanic origin
race
place of birth
highest level
health insurance
marital status, marital history a, marital history b, marital history c,
number of marriages, year of marriage
wages, wages amount
relationship
deaf, blind, difficulty concentrating, difficulty walking, difficulty
dressing, difficulty doing errands
birth
sex at birth
gender identity, sex and gender identity confirmation
sexual orientation
same or different respondent
gender identity follow-up (part 1), gender identity follow-up (part 2),
gender identity follow-up (part 3), sex at birth & gender identity
follow-up, sexual orientation follow-up
login, target cfu respondent, returning user, welcome back, already
completed, assistance, recovery, resetpin, failed to verify, address
verification, address collection, wrong address, you live or stay,
anyone live or stay, business, thank you – business, generate PIN,
presummary, summary, review and edit, thank you survey complete,
pick next person, save, contact us

Note: Bolded screen names are in scope for CFU only.

The question wording for internet CFU is the same as the SOGI internet self-response questions, with
the exception of: (1) target CFU respondent, (2) same or different respondent, (3) gender identity
follow-up (part 3), and (4) sex at birth & gender identity followup.

Table 2. Question Wording for CFU-only Questions
Topic
Target CFU
Respondent

Treatment 1

Treatment 2
Same as Treatment 1

As a reminder, the person listed in your
letter from the U.S. Census Bureau
should complete this follow-up survey. If
that person is unable to do so, another
household member who is at least 15
years old may respond.
Same/Different
Respondent

Are you the same person who completed
the original American Community
Survey?

Same as Treatment 1

 Yes, I am the same person.
 No, a different person in my

household completed the
original survey.

Gender
Identity Follow
up (Part 3)

We are conducting research to improve the
questions we ask in this survey. Earlier in the
survey, you were asked this question:

N/A

What is this person’s current gender?
 Male
 Female
 Transgender
 Nonbinary
 This person uses a different term
_______
You indicated that (gender identity fill). If you
could have selected only one option, what
option would you have selected?
Sex at Birth &
Gender
Identity
Follow-up

Notes:

We are conducting research to improve
the questions we ask in this survey.
Earlier in the survey, you indicated that
(sex at birth fill) and (gender identity
fill). How old was when they
started to feel that their sex assigned at
birth and current gender were different?

Same as Treatment 1

(1) The “gender identity fill” and “sex at birth fill” are the same as the ones used for SOGI internet self-response.
(2) The CFU internet design will follow SOGI internet self-response, with two treatments (mark one/mark all) and
two display variations for the gender identity “different term” write-in field (visible/unfolding).

The CFU-internet instrument will contain a modified list of frequently asked questions (FAQs)
from the SOGI internet instrument. It will also add one FAQ from the 2022 CFU instrument,
“Why are you asking me these questions again?”

Table 3. FAQ Updates for CFU-Internet (in red)

FAQ Title
Is this a legitimate follow-up
survey?
Why are you asking me these
questions again?

FAQ Answer
Same as SOGI IDC.
Because the American Community Survey is continuously
collecting data, the Census Bureau must continue to research and
improve the questions asked as part of the ACS. We follow-up
with some of the households who respond to the ACS and ask
some of the same types of questions again in order to get a
measure of how well the questions work. Questions that work
well and result in the highest quality data will make it easier for
3

you to answer accurately. Your participation in this interview will
help us make sure the questions on the American Community
Survey really measure what we intend. As a result, local, state
and federal governments, as well as businesses, will be able to
make program decisions based on the most accurate information
we can provide.

How was I selected for the
follow-up survey?

How long will it take to
complete the follow-up
survey?
Do I have to answer the
questions on the follow-up
survey?

How do I benefit by answering
the follow-up survey?

Either you or someone in your household recently
completed the American Community Survey. Thank you! For
quality assurance purposes, we would like you to answer a
few follow-up questions. Your participation will help us
improve the accuracy of the survey data.
Time changed to 15 minutes.
Yes. Respondents are required to answer all questions on this
follow-up survey to the best of their ability. Response is required
by law (Section 221 of Title 13, Chapter 7, United States
Code). Title 13, Section 221, as changed by Title 18, imposes a
penalty for not responding. Federal law protects your privacy and
keeps your answers confidential (Title 13, U.S. Code, Section 9).
Your answers are very important because the Census Bureau will
use them to improve the American Community Survey, ultimately
resulting in better data for your community and the nation.
Your answers are very important because the Census Bureau will
use them to improve the American Community Survey, ultimately
resulting in better data for your community and the nation.

Note: The IDC FAQ, “Do I have to mail back my questionnaire if I complete the American Community Survey
online?” will be omitted for CFU.

Several screens in the CFU-internet instrument have wording changes based on the purpose
and scope of CFU.

Table 4. Internet Instrument Screen Wording Changes for CFU

Screen Name
address verification
wrong address

Text

Are you completing these follow-up questions to the American Community
Survey for: [address]
Because you indicated that you are not completing these follow-up questions
to the American Community Survey for that address, we do not need any
further information at this time.
You do not have to return the questionnaire to the Census Bureau.

thank you –
business
already completed
generate pin

roster_check
place of birth
wages

Because you said [address]
is a business, you do not need to complete these follow-up questions to the
American Community Survey at this time.
The follow-up survey has already been completed for this address. If you
have any questions, please call 1-888-715-2301.
It will allow you to log back into the survey if the session times out or you
need to stop and come back later. The session will time out if left idle for
more than 15 minutes. This survey will take approximately 15 minutes to
complete.
Removed last sentence for Option 5, “However, you will be asked some basic
questions about the housing unit.”
Removed instruction, “The following series of questions refer to (name).”
Removed “citizenship and year of entry” from help text.
Removed leading instruction, “The next few questions are about (Name)’s
income during the PAST 12 MONTHS.” and “For each type of income (Name)
received,”
New wording:

presummary

summary

review and edit
thank you survey
complete
Instructions Text
Attachments A & B

Give your best estimate of the TOTAL AMOUNT of income (Name) received
during the PAST 12 MONTHS. (NOTE: The “past 12 months” is the period from
today’s date one year ago up through today.)
You are almost done. You may choose to review and edit your answers by
clicking REVIEW.
To submit your answers and complete these follow-up questions to the
American Community Survey without reviewing, click SUBMIT.
Please click Review Answers below to view a list of your answers.
Then click “SUBMIT” to complete these follow-up questions to the American
Community Survey.
Removed references to Housing Questions .
Removed references to Housing Questions.
Thank you for completing these follow-up questions to the American
Community Survey.
Your answers have been submitted to the U.S. Census Bureau.
Text removed: “If you also received an American Community Survey
questionnaire in the mail, there is no need to mail it back once you have
submitted your answers online.“
Removed Housing Questions and references to screens that are not in scope
for CFU.

Attachment K: Internet Wording (Spanish)
SOGI Content Followup Questions: Internet (Spanish)
The internet Content Followup (CFU) questions will use the same Spanish wording as the SOGI selfresponse internet mode. The Spanish wording for questions that are in-scope for CFU only is below.

Table 1. Spanish Question Wording for CFU-only Questions
Topic
Target CFU
Respondent

Treatment 1

Usted o algún miembro de su hogar
recientemente completó la Encuesta
sobre la Comunidad Estadounidense.
¡Muchas gracias! Nos gustaría que
respondiera algunas preguntas de
seguimiento como parte de nuestro
control de calidad. Algunas preguntas
pueden ser muy parecidas a las de la
encuesta que completó recientemente.

Treatment 2
Same as Treatment 1

Como recordatorio, la persona que se
menciona en su carta de la Oficina del
Censo de los EE. UU. debe completar esta
encuesta de seguimiento. Si esa persona
no puede hacerlo, otro miembro del
hogar que tenga al menos 15 años puede
responder.
Same/Different
Respondent

¿Es usted la misma persona que completó
la Encuesta sobre la Comunidad
Estadounidense original?
•
•

Gender
Identity Follow
up (Part 3)

N/A

Same as Treatment 1

Sí, soy la misma persona.
No, otra persona en mi hogar
completó la encuesta original.
Llevamos a cabo estudios para mejorar las
preguntas que hacemos en esta encuesta.
Anteriormente en la encuesta le hicimos esta
pregunta:
¿Cuál es el género actual de esta persona?
 Masculino
 Femenino
 Transgénero
 No binario
 Esta persona usa otro término
_______
1

Usted indicó que (gender identity fill). Si usted
pudiera haber seleccionado solo una opción,
¿qué opción hubiera seleccionado?
Sex at Birth &
Gender
Identity
Follow-up

Llevamos a cabo estudios para mejorar las
preguntas que hacemos en esta encuesta.

Same as Treatment 1

Usted indicó anteriormente en la
encuesta que el sexo que le asignaron
al nacer a (Name) era (sex at birth fill)
y su género es (gender identity fill).

¿Cuántos años tenía (Name) cuando
empezó a pensar que el sexo que le
asignaron al nacer y su género actual eran
distintos?
Notes:
(1) The “gender identity fill” and “sex at birth fill” are the same as the ones used for SOGI internet self-response.
(2) The CFU internet design will follow SOGI internet self-response, with two treatments (mark one/mark all) and
two display variations for the gender identity “different term” write-in field (visible/unfolding).

FAQ Title (English)
Is this a legitimate
follow-up survey?
Why are you asking
me these questions
again?

FAQ Title (Spanish)

¿Es legítima esta encuesta de
seguimiento?
¿Por qué me está haciendo estas
preguntas de nuevo?

FAQ Answer (Spanish)
Same as SOGI IDC.

Como la ACS está recopilando datos
continuamente, la Oficina del Censo tiene
que continuar investigando y mejorando
las preguntas que se hacen como parte
de la ACS. Llevamos a cabo un
seguimiento de algunos de los hogares
que respondieron a la ACS y les hacemos
de nuevo algunas preguntas del mismo
tipo, para recibir una medida de cuán
adecuadamente funcionan las preguntas.
Las preguntas que funcionan
adecuadamente y traen como resultado
2

How was I selected
for the follow-up
survey?

¿Cómo me seleccionaron para
esta encuesta de seguimiento?

How long will it take
to complete the
follow-up survey?
Do I have to answer
the questions on
the follow-up
survey?

¿Cuánto tiempo llevará
completar la encuesta de
seguimiento?
¿Tengo que responder a las
preguntas de la encuesta de
seguimiento?

los datos de mayor calidad harán que sea
más fácil para usted responder con
precisión. Su participación en esta
entrevista nos ayudará a cerciorarnos de
que las preguntas de la Encuesta sobre la
Comunidad Estadounidense ofrecen
realmente una medida de lo que nos
proponemos. Como resultado, los
gobiernos locales, estatales y federal, así
como los negocios, podrán tomar
decisiones basadas en la información más
precisa que podemos ofrecer.
Usted o algún miembro de su hogar
recientemente completó la Encuesta
sobre la Comunidad Estadounidense.
¡Muchas gracias! Nos gustaría que
respondiera algunas preguntas de
seguimiento como parte de nuestro
control de calidad. Su participación nos
ayudará a mejorar la precisión de los
datos de la encuesta.
Same as SOGI IDC (number of minutes
updated only.
Sí. Se requiere que las personas
encuestadas respondan a todas las
preguntas de esta encuesta de
seguimiento lo mejor que puedan. La
respuesta es requerida por ley (Sección
221 del Título 13, Capítulo 7 del Código
de los Estados Unidos). La Sección 221
del Título 13, según la modificación del
Título 18, impone una multa por no
responder. La ley federal protege su
privacidad y la confidencialidad de sus
respuestas (Sección 9 del Título 13 del
Código de los EE. UU.).
Sus respuestas son muy importantes
porque la Oficina del Censo las usará para
mejorar la Encuesta sobre la Comunidad
Estadounidense, lo cual traerá como
resultado mejores datos para su
comunidad y para el país.

How do I benefit by
answering the
follow-up survey?

¿Cómo me beneficiará
responder a la encuesta de
seguimiento?

Sus respuestas son muy importantes
porque la Oficina del Censo las usará para
mejorar la Encuesta sobre la Comunidad
Estadounidense, lo cual traerá como
resultado mejores datos para su
comunidad y para el país.

Note: The IDC FAQ, “Do I have to mail back my questionnaire if I complete the American Community Survey
online?” will be omitted for CFU.

Several screens in the CFU-internet instrument have wording changes based on the purpose
and scope of CFU.

Table 3. Internet Instrument Screen Wording Changes for CFU – Spanish (in red)

Screen Name
address verification
wrong address

thank you –
business
already completed
generate pin

roster_check
place of birth

Text

¿Está completando usted estas preguntas de seguimiento de la Encuesta
sobre la Comunidad Estadounidense para: [address]
Debido a que usted indicó que no está completando estas preguntas de
seguimiento de la Encuesta sobre la Comunidad Estadounidense para esa
dirección, no necesitamos más información en este momento.
Usted no tiene que devolver el cuestionario a la Oficina del Censo.
Debido a que usted dijo que [address] es un negocio, no necesita completar
estas preguntas de seguimiento de la Encuesta sobre la Comunidad
Estadounidense en este momento.
La encuesta de seguimiento ya ha sido completada para esta dirección. Si
tiene alguna pregunta, llame al 1-877-833-5625.
Éste le permitirá entrar de nuevo a la encuesta si la sesión se interrumpe o si
necesita parar y regresar en otro momento. La sesión se interrumpirá si se
deja inactiva por más de 15 minutos. Tomará aproximadamente 15 minutos
completar esta encuesta.
Removed last sentence for Option 5 because housing questions are out of
scope, “Sin embargo, se le harán algunas preguntas básicas sobre la unidad
de vivienda.”
Removed instruction, “La siguiente serie de preguntas se refiere a

(Name).”

Removed “la ciudadanía y el año de entrada al país” from help text.

wages

Removed leading instruction, “Las siguientes preguntas son sobre el ingreso
de (Name) DURANTE LOS ÚLTIMOS 12 MESES.” and “Por cada tipo de ingreso
que (Name) recibió,”
New wording:

presummary

summary

review and edit
thank you survey
complete
Instructions Text
Attachments A & B

Dé su mejor cálculo de la CANTIDAD TOTAL de ingresos que (Name) recibió
durante los ÚLTIMOS 12 MESES. (NOTA: Los "últimos 12 meses" es el período
desde hace exactamente un año hasta la fecha de hoy).
Casi ha terminado. Usted puede optar por revisar y editar sus respuestas
haciendo clic en REVISAR.
Para enviar sus respuestas y completar estas preguntas de seguimiento de la
Encuesta sobre la Comunidad Estadounidense sin revisar, haga clic en
ENVIAR.
Haga clic a continuación en "Revisar las respuestas" para ver una lista de sus
respuestas. Luego, haga clic en "ENVIAR" para completar estas preguntas de
seguimiento de la Encuesta sobre la Comunidad Estadounidense.
Removed references to Housing Questions .
Removed references to Housing Questions.
Gracias por completar estas preguntas de seguimiento de la Encuesta sobre la
Comunidad Estadounidense.
Sus respuestas han sido enviadas a la Oficina del Censo de los EE. UU.
Text removed: “Si usted también recibió por correo un custionario de la
Encuesta sobre la Comunidad Estadounidense no tiene que enviarlo de vuelta
por correo se ya envoi sus respuestas por Internet.”
Removed Housing Questions and references to screens that are not in scope
for CFU.

Attachment K: CFU Telephone Wording
SOGI Content Followup Questions: In- and Out-Bound Telephone (English only)
For the 2024 Sexual Orientation and Gender Identity (SOGI) Content Test, the Content Followup (CFU)
reinterview will ask a subset of the questions from SOGI self-response.

Table 1. Screens in Scope for CFU-Telephone (excluding SOGI questions)
Name

Question

CALLSOURCE

Is this an outgoing call or an incoming call?

T_CATIRESP

May I speak with (target respondent name)?

LOCATINGRESP

May I speak to someone at least 15 years old who is knowledgeable about
the household at (address) and the people in that household?

RESPONDENTLINE
SUPERVISOROUT

Thank you for calling in response to our letter. My name is…
Please confirm your full name.
Informing respondent that a supervisor may be listening.
Informing respondent that a supervisor may be listening.

SUPERVISORIN

Removing: “Thank you for returning our call.
This call is about a Census Bureau survey that you or someone in your
household recently completed.”

BASIC

Now I would like to ask you some basic questions about...

DOBM

Month of birth

DOBD

Day of birth

DOBY

Year of birth

DOBA

Confirm age

AGEASK

Best estimate of age

AGERANGE

Age range

HISA

(Are you/Is Name) of Hispanic, Latino, or Spanish origin?

HISB

(Are you/Is Name) Mexican, Mexican American, or Chicano; Puerto Rican;
Cuban; or some other Hispanic, Latino, or Spanish origin; for example,
Salvadoran, Dominican, Colombian, Guatemalan, Spaniard, Ecuadorian,
etc.?

HISW

What is that origin?

RACT

(Are you/Is Name) White; Black or African American; American Indian or
Alaska Native; Asian; Native Hawaiian or Other Pacific Islander; or Some
other race?

RAC_WI_WHT

What are (your/Name's) White origin or origins? For example, German,
Irish, English, Italian, Lebanese, Egyptian, etc.

RAC_WI_BLK

What are (your/Name's) Black or African American origin or origins? For
example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali,
etc.

RAC_WI_AIAN

What are (your/Name's) American Indian or Alaska Native enrolled or
principal tribe or tribes? For example, Navajo Nation, Blackfeet Tribe,
Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government,
Nome Eskimo Community, etc.

RCWAG

(Are you/Is Name) Chinese, Filipino, Asian Indian, Vietnamese, Korean,
Japanese, or of some other Asian origin?"

RAC_WI_ASN

What are those other Asian origin or origins? For example, Pakistani,
Cambodian, Hmong, etc.

RCWPG

(Are you/Is Name) Native Hawaiian, Samoan, Chamorro, or of some other
Pacific Islander origin?"

RAC_WI_NHPI

What are those other Pacific Islander origin or origins? For example,
Tongan, Fijian, Marshallese, etc.

RAC_WI_SOR

What is (your/Name's) other race or origin?

POBST

Where were you born?

POBFOR

In what country (was Name/were you) born?

POBFOR_SP

Enter the country or foreign place name.

SCHL

Using this list, what is the highest degree or level of school (you have/Name
has) completed?

SCHLVOC

Other than the vocational or technical license, what is the highest degree or
level of school (you have/Name has) completed?

HICEMPLOYER

(Are you/Is Name) currently covered by health insurance through a current
or former employer or union of (you or another family member)?

HICDIRECT

(Are you/Is Name) currently covered by health insurance purchased directly
from an insurance company by (you or another family member)?

HICMEDICARE

(Are you/Is Name) currently covered by Medicare, for people age 65 or
older or people with certain disabilities?

HICMEDICAID

(Are you/Is Name) currently covered by Medicaid, Medical Assistance, or
any kind of government-assistance plan for those with low incomes or a
disability?

HICMILITARY

(Are you/Is Name) currently covered by TRICARE or other military health
care?

HICVA

(Are you/Is Name) currently covered through the VA or enrolled for VA
health care?

HICINDIAN

(Are you/Is Name) currently covered through the Indian Health Service?

HICOTHER

(Are you/Is Name) currently covered by any other health insurance or
health coverage plan?

OTHERHIC1

What is the name of the health care plan?

MAR

(Are you/Is Name) married, widowed, divorced, separated, or never
married?

MARHIS1

In the past 12 months, did (you/Name) get married?

MARHIS2

In the past 12 months, did (you/Name) become a (widow/widower)?

MARHIS3

In the past 12 months, did (you/Name) get divorced?

NUMMAR

How many times (have you/has Name) been married? Is that once, twice,
or three or more times?

MARYR

In what year did (you/Name) (get/last get) married?

EARNX

Did (you/Name) receive any wages or salary?

EARN

How much did (you/Name) receive in wages and salary from all jobs before
taxes and other deductions?

TIPSX

Did (you/Name) receive any (additional) tips, bonuses or commissions
DURING THE PAST 12 MONTHS?

TIPS

How much did (you/Name) receive in tips, bonuses, or commissions from all
jobs before taxes and other deductions?

T_RELSHIP

How (are you/is Name) related to (you/HHoldername)? (You are/Name is)
(HHoldername's)…

DEAR

(Are you/Is Name) deaf or (do you/do they) have serious difficulty hearing?

DEYE

(Are you/Is Name) blind or (do you/do they) have serious difficulty seeing
even when wearing glasses?

DREM

Because of a physical, mental, or emotional condition (do you/does Name)
have serious difficulty concentrating, remembering, or making decisions?

DWALK

(Do you/Does Name) have serious difficulty walking or climbing stairs?

DDRESS

(Do you/Does Name) have difficulty dressing or bathing?

DERRAND

Because of a physical, mental, or emotional condition, (do you/does Name)
have difficulty doing errands alone such as visiting a doctor's office or
shopping?

FER

In the PAST 12 MONTHS, (have you/has Name) given birth to any children?

THANKYOU

Thank respondent after completing sections 2-4

FINISH

F10 / Exit tab – screen for exiting incomplete case

CFULANGUAGE

Language used for interview

OTHERBE1

Specific unlisted language used

SHOW CTRL

Control codes pass to WebCATI

SHOW ROS

Household roster to pass to WebCATI

Note: Telephone CFU for the SOGI test will use the same front/back as CFU from the 2022 Content Test, with the
exceptions noted in bold.

Table 2. SOGI Question Wording for CFU-Telephone
Topic

Treatment 1

Treatment 2

Sex

What sex
assigned at birth?

Same as Treatment 1

Gender Identity

o 1. Male
o 2. Female
(Ask for people 15+)
What is current
gender? 1. Male, 2. Female, 3.
Transgender, 4. Nonbinary, or 5.
a different
term?
o
o
o
o
o

1. Male
2. Female
3. Transgender
4. Nonbinary
5.
a different term

(If ‘use a different term’)

(Ask for people 15+)
For the next question you may
choose more than one answer.
What is current
gender? 1. Male, 2. Female, 3.
Transgender, 4. Nonbinary, or 5.
a
different term?






1. Male
2. Female
3. Transgender
4. Nonbinary
5. a different term

Topic

Treatment 1

Treatment 2

What is that term? (write-in)

(If ‘use a different term’)
What is that term? (write-in)

Sex & GI
Confirmation

N/A

Sexual
Orientation

(After Q24 (married last) in
detailed person section, ask for
people 15+)

N/A

Same as Treatment 1

Which of the following best
represents how ? 1. Gay or lesbian,
2. Straight, that is not gay or
lesbian, 3. Bisexual, or 4. a different
term?
1. Gay or lesbian
2. Straight, that is not gay or
lesbian
3. Bisexual
4. a
different term
If “uses a different term” is
selected:
What is that term?
[WRITE IN]
Gender Identity
Follow-up Part 1

We are conducting research to
improve the questions we ask in
this survey. Earlier in the survey,
you were asked these questions:

N/A

What sex
assigned at birth? 1. Male or 2.
Female
and
What is current
gender? 1. Male, 2. Female, 3.
Transgender, 4. Nonbinary, or 5.
a
different term
Would your answer for current
gender have changed if you
could have selected more than
one option (for anyone in your

Topic

Treatment 1

Treatment 2

household)? If yes, what options
would you have selected?
Gender Identity
Follow-up Part 2

Gender Identity
Follow-up Part 3

Earlier in the survey, you
indicated that . Could you tell us more
about how you came up with
your answer? Are there any other
answers you thought about
choosing but did not?
N/A

Same as Treatment 1

We are conducting research to
improve the questions we ask in
this survey. Earlier in the
survey, you were asked this
question:
For the next question you may
choose more than one answer.
What is current
gender? 1. Male, 2. Female, 3.
Transgender, 4. Nonbinary, or 5.
a
different term
You indicated that . If you could have
selected only one option, what
option would you have selected?
For two eligible people:
You indicated that and . If you could have
selected only one option, what
option would you have selected
for each of these people?
If there are three or more
eligible people, an additional,
“” is added
for each person with a comma
separating them.

Sex at Birth &
Gender Identity
Follow-up

Earlier in the survey, you
indicated that
sex assigned at birth was and . How old when
started to feel that
sex assigned at birth and current
gender were different?
Sexual
Orientation
Follow-up

Earlier in the survey, you were
asked this question:

Same as Treatment 1

Which of the following best
represents how ? 1. Gay or lesbian,
2. Straight, that is not gay or
lesbian, 3. Bisexual, or 4. a different
term.

You indicated that a different term.
Could you tell us more about how
you came up with that answer?
Are there any other answers you
thought about choosing but did
not?

Note: The “gender identity fill” and “sex at birth fill” are the same as the ones used for SOGI internet self-response.

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