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pdfAttachment O - ACS-290(GQ)(8-1-2022) - ACS GQ Listing Sheet
Sheet ____ of ____ Sheets
FORM ACS-290(GQ) (8-1-2022)
U.S. DEPARTMENT OF COMMERCE (1) GQ Name
U.S. CENSUS BUREAU
(2) Sample Date
GROUP QUARTERS LISTING SHEET
(3) Username
(4) Interview Date
Month/Day/Year
(5) GQ Control Number
AMERICAN COMMUNITY SURVEY (ACS)
(6) Total Number of Current Residents (Current Pop)
Line
No.
(7)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
(10) Footnotes
Sample Resident Name and
Location Description
(8)
Telephone Number/Remarks
(9)
Attachment O - ACS-290(GQ)(PR)(SP)(9-22-2022) - PRCS GQ Listing Sheet
FORMA
Hoja ______ de _______ Hojas
ACS-290(GQ)(PR)(SP) (09-22-2022)
DEPARTAMENTO DE COMERCIO DE LOS EE. UU. (1) Nombre del GQ
OFICINA DEL CENSO DE LOS EE. UU.
(2) Fecha de la
Muestra
HOJA DE LISTADO DEL ALOJAMIENTO DE GRUPO
ENCUESTA SOBRE LA COMUNIDAD
DE PUERTO RICO (PRCS)
Núm.
de
Línea
Nombre del Residente en la Muestra
y Descripción de la Localización
(7)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
(10) Notas al Calce
(8)
(3) Nombre de
usuario
(4) Fecha de la Entrevista
Mes/Día/Año
(5) Número de Control del GQ
(6) Número Total de Residentes Actuales (Población Actual)
Número de Teléfono/Comentarios
(9)
Attachment O - ACS-290B(GQ)(8-1-2022) - ACS GQ Control List
FORM ACS-290B(GQ) (8-1-2022)
U.S. DEPARTMENT OF COMMERCE
U.S. CENSUS BUREAU
1. GQ Name
2. GQ Control Number
SURVEY PACKAGE CONTROL LIST FOR
SPECIAL SWORN STATUS (SSS)
INDIVIDUALS
AMERICAN COMMUNITY SURVEY
GROUP QUARTERS
3. SSS Name
4. SSS Phone Number
NOTE – Please return this form to the Field Representative who picks up the survey package.
Sample Resident Name
(a)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Date questionnaire
Distributed Collected
Month
Remarks
(c)
(b)
Day
Month
Day
(d)
FORMA ACS-290B(GQ)(PR)(SP) (09-22-2022)
Attachment O - ACS-290B(GQ)(PR)(SP)(9-22-2022) - PRCS GQ Control List (Spanish)
DEPARTAMENTO DE COMERCIO DE LOS EE.UU.
OFICINA DEL CENSO DE LOS EE.UU.
1. Nombre del GQ
2. Número de control del GQ
LISTA DE CONTROL DEL PAQUETE DE
MATERIALES DE LA ENCUESTA PARA LOS
EMPLEADOS ESPECIALES JURAMENTADOS
ENCUESTA SOBRE LA COMUNIDAD DE
PUERTO RICO
3. Nombre del empleado especial juramentado
4. Número de teléfono del empleado especial juramentado
ALOJAMIENTO DE GRUPO
NOTA – Por favor, devuelva esta forma al Representante de Campo cuando él/ella regrese
a recoger los paquetes de materiales de la encuesta.
Fecha del cuestionario
Nombre del Residente en la Muestra
(a)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Distribuido
Recogido
(b)
(c)
Mes
Día
Mes
Día
Comentarios
(d)
Attachment O - eListing Screens
Attachment O - eListing Screens -- Centurion
Attachment C - eListing Screens -- Centurion
Attachment C - eListing Screens -- Centurion
Attachment C - eListing Screens -- Centurion
Attachment C - eListing Screens -- Centurion
Attachment C - eListing Screens -- Centurion
Attachment C - eListing Screens -- Centurion
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: ACS GQ LI 2023
Blaise Item-Level Specifications Report
Spider Version 1.7.1
COVER SHEET
ACS GQ LI 2023
Blaise Item-Level Specifications Report
Items contained in this report:
- BInitial
- Bcontact2
- BF10_Exit BExit
- BExit
- BGQtype1
- BGQtype2
- BGQtype3
- GQSample
- FAQ
- FCLANGUAGE_Tab
- Job Aids Tab
- GQ_Defs
-?
- Data Model Level & F10 Exit
- GEOCODING MODULE TAB
Last Modified: Monday, May 20, 2019
Page 1 of 592
Survey: ACS GQ LI 2023
Section: BInitial
BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
BInitial
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Thursday, September 9, 2021
Page 2 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ELISTING_flag
Field
BInitial.ELISTING_flag
Description: Flag to indicate whether a case was completed through eListing
Form Pane Label:
SAS Name: ELISTING_flag
Tag Name:
Inherited Universe:
Universe: f10 path
if INTSTAT = OTHR {3} and LISTINGMETHOD_TELE_eList_NoRoster_flag = yes
then
ELISTING_flag = yes
endif
completed path
if outcome = '801' and Initial.InitScreen = Elist {7} then
ELISTING_flag = yes
endif
Universe Description:
Question Text:
Spanish Question Text:
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Classification
Length: 1
Last Modified: Thursday, September 9, 2021
Page 3 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
On Output
Array:
Last Modified: Thursday, March 31, 2022
Page 4 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
INITSCREEN
Field
BInitial.INITSCREEN
Description: Initial Screen
Form Pane Label: Initial screen
SAS Name: INITSCREEN
Tag Name: INITSCREEN
Inherited Universe:
Universe: All
Universe Description:
Question Text: [Census Logo] U.S. Census Bureau ^DATE_Fill ^TIME_Fill
^American_PuertoRico_Fill
GROUP QUARTERS FACILITY QUESTIONNAIRE
v[^VersionNumber_Fill] [^VersionDate_Fill]
SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
PHYSICAL DESC/LOCATION: ^PHYSDES_Fill
BUILDING NAME: ^BLDGNAME_Fill
BUILDING ID: ^BLDGID_Fill
GENERAL OR MAIN PHONE #: ^GQPHONE_Fill , ^GQEXT_Fill
CONTACT PERSON 1: ^CP1NAME_Fill , ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
CONTACT PERSON 2: ^CP2NAME_Fill, ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Spanish Question Text: [Census Logo] U.S. Census Bureau Fill in ^DATE_Fill ^TIME_Fill
^American_PuertoRico_Fill
CUESTIONARIO SOBRE FACILIDADES DE ALOJAMIENTOS DE GRUPO
v[^VersionNumber_Fill] [^VersionDate_Fill]
Last Modified: Thursday, March 31, 2022
Page 5 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
DESCRIPCIÓN FÍSICA/UBICACIÓN: ^PHYSDES_Fill
NOMBRE DEL EDIFICIO: ^BLDGNAME_Fill
CONSTRUCCIÓN DE ID: ^BLDGID_Fill
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHON_Fill , ^GQEXT_Fill
PERSONA DE CONTACTO 1: ^CP1NAME_Fill , ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO
1: ^EMAILADDRESS_Fill
PERSONA DE CONTACTO 2: ^CP2NAME_Fill , ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: DATE_Fill
Instructions: DATE
Fills: TIME_Fill
Instructions: TIME
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Last Modified: Thursday, March 31, 2022
Page 6 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Fills: VersionNumber_Fill
Instructions: Instrument Version Number.
Fills: VersionDate_Fill
Instructions: Instrument Version Date.
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: PHYSDES_Fill
Instructions: Physical description or location of the Group Quarters.
Fills: BLDGNAME_Fill
Instructions: Group Quarters building name.
Fills: BLDGID_Fill
Instructions: Group Quarters Building Identification.
Last Modified: Thursday, March 31, 2022
Page 7 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQEXT_Fill
Instructions: Group Quarters phone number extension.
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Fills: GQPHONE_Fill
Last Modified: Thursday, March 31, 2022
Page 8 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quarters phone number.
Type: Enumerated
Length: 1
Answer List: TINITSCREEN
Value:
Mnemonic:
Description:
1
Non-Working Telephone Number
2
Telephone call to set up an appointment at GQ or complete interview by phone
3
Personal interview at GQ without an appointment
4
Personal interview at GQ with a set appointment
5
Quit-do not attempt now
6
Telephone interview with GQ with a set appointment
7
eList roster received, enter sample resident information
Spanish
Value:
Mnemonic:
Description:
1
Número de teléfono que no funciona
2
Llamada telefónica para programar una cita en el GQ o completar la
entrevista por teléfono
3
Entrevista en persona en el GQ sin una cita
4
Entrevista en persona en el GQ con una cita establecida
5
Pare-no intente ahora
6
Entrevista por teléfono con el GQ con cita programada
7
Se recibió el listado de eList. Ingrese la información del residente de la
muestra
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values: 1, 2, 3, 4, 5, 6 do not accept DK or R
Array:
Special Instructions: {1} AND PEAS_FL = {1, 0} set OUTCOME = '803'
ONLY display {7} if OUTCOME code = '804'
Last Modified: Thursday, March 31, 2022
Page 9 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
BoP Special Instruction
The INITSCREEN should only allow for options 1, 2, 4 and 5.
Skip Instructions: {1} go to INITSCREEN_SOFTCHK
{2} AND PEAS_FL = {1} go to IDOFPLACE
{2} AND PEAS_FL = {0} go to HARDINITSCREEN2
{3, 4, 6} AND PEAS_FL = {1, 0} AND {INTERVIEW DATE BEFORE INTPER} go to
HARDINITSCREEN3
{3} AND PEAS_FL = {1} AND {INTERVIEW DATE DURING INTPER} go to
IDOFPLACE
{4, 6} AND PEAS_FL = {1} AND {INTERVIEW DATE DURING INTPER} go to INTRO
{3, 4, 6} AND PEAS_FL = {0} AND {INTERVIEW DATE DURING INTPER} go to
PEOPLEATGQ
{5} EXIT INSTRUMENT
{7} AND PEAS_FL = {1, 0} go to CURRENTPOP
Skip Instructions for BoP
{1} AND BoP_Flag = {1} go to INITSCREEN_SOFTCHK2
{2} AND BoP_Flag = {1} AND PEAS_FL = {0} go to HARDINITSCREEN
{2} AND BoP_Flag = {1} AND PEAS_FL = {1} go to IDOFPLACE
{4} AND BoP_Flag = {1} AND PEAS_FL = {1} AND APPOINTMENT1 = {EMPTY} go
to INITSCREEN_SOFTCHK3
{4} AND BoP_Flag = {1} AND PEAS_FL = {0} AND APPOINTMENT1 = {EMPTY} go
to INITSCREEN_SOFTCHK4
{4} AND BoP_Flag = {1} AND PEAS_FL = {1, 0} AND APPOINTMENT1 = {NOT
EMPTY} go to INITSCREEN_SOFTCHK4
Last Modified: Tuesday, December 28, 2021
Page 10 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_INITSCREEN
Check
BInitial.HARD_INITSCREEN
Description: appointment already set for BoP
Inherited Universe:
Universe: PEAS_FL = {0} AND BoP_Flag = {1} AND INITSCREEN = {2}
Universe Description:
Text: There has already been an appointment made for this GQ. After you have conducted
the interviews, select Option 4 to finish the case.
Spanish Text: Ya se ha hecho una cita para este GQ. Después de llevar a cabo las entrevistas,
seleccione la Opción 4 para terminar este caso.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {S} exit instrument
{C, G} go to INITSCREEN
Last Modified: Tuesday, December 28, 2021
Page 11 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
HARD_INITSCREEN2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
BInitial.HARD_INITSCREEN2
Description: Hit 2 or more for GQ that has already completed LI
Inherited Universe:
Universe: PEAS_FL = {0} AND INITSCREEN = {2}
Universe Description:
Text: All GQ contact information has already been collected. Conduct a personal visit, or a
telephone interview.
Spanish Text: Toda la información de contacto del GQ ya ha sido recopilada. Lleve a cabo una
entrevista en persona o una entrevista por teléfono.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to INITSCREEN
Last Modified: Tuesday, December 21, 2021
Page 12 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_INITSCREEN3
Check
BInitial.HARD_INITSCREEN3
Description: Can't start interview before Interview Period
Inherited Universe:
Universe: INITSCREEN = {3, 4, 6} AND INTERVIEW DATE BEFORE INTPER AND PANEL 1
THROUGH 12
Universe Description:
Text:
Spanish Text:
This case cannot be started. It is outside the interview period.
Este caso no se puede comenzar. Está fuera del periodo de entrevistas.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: This edit is not for BoP (INTPER YYYY69) and RA (INTPER YYYY41 & YYYY47)
Type: Hard
Skip Instructions: {C, G} go to INITSCREEN
Last Modified: Thursday, December 2, 2021
Page 13 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
INITSCREEN_SOFTCHK
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
BInitial.INITSCREEN_SOFTCHK
Description: conduct research to find valid phone number
Inherited Universe:
Universe: INITSCREEN = {1}
Universe Description:
Text: You must conduct research to find a valid number. If you cannot do this, then you
must conduct a personal visit.
Click Suppress to exit or Goto to return.
Spanish Text: Usted tiene que llevar a cabo una investigación para encontrar un número válido. Si
no puede hacer esto, entonces tiene que llevar a cabo una visita en persona.
Presione Suppress para salir o Goto para regresar.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Soft
Skip Instructions: {S} exit instrument
{C, G} go to INITSCREEN
Last Modified: Tuesday, December 28, 2021
Page 14 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
INITSCREEN_SOFTCHK2
Check
BInitial.INITSCREEN_SOFTCHK2
Description: RO must schedule appointment with BoP before personal visit.
Inherited Universe:
Universe: BoP_Flag = {1} AND INITSCREEN = {1}
Universe Description:
Text: Contact your RO immediately and inform them of the situation. Do not conduct a
personal visit without making an appointment first.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: Comuníquese con su RO inmediatamente para informarle esta situación. No lleve
acabo una visita en persona sin primero hacer una cita.
Check Instructions:
Type: Hard
Skip Instructions: {S} exit instrument
{C, G} go to INITSCREEN
Last Modified: Tuesday, December 28, 2021
Page 15 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
INITSCREEN_SOFTCHK3
Check
BInitial.INITSCREEN_SOFTCHK3
Description: Appointment not made before personal visit at BoP
Inherited Universe:
Universe: PEAS_FL = {1} AND BoP_Flag = {1} AND INITSCREEN = {4} AND APPOINTMENT1
= {empty}
Universe Description:
Text: You must contact the facility to set up an appointment before you can enter this
option.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: Usted debe comunicarse con la instalación para hacer una cita antes de entrar esta
opción.
Check Instructions: Set OUTCOME = '802'
Type: Hard
Skip Instructions: {S} exit instrument
{C, G} go to INITSCREEN
Last Modified: Tuesday, December 28, 2021
Page 16 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
INITSCREEN_SOFTCHK4
Check
BInitial.INITSCREEN_SOFTCHK4
Description: FR confirms that PAPI packets have been delivered to BoP before personal visit
Inherited Universe:
Universe: BoP_FLAG = {1} AND APPOINTMENT1 <> {empty} AND INITSCREEN = {4}
Universe Description:
Text: In selecting this option, you are verifying that:
You should have only selected this option if you have received notification from the
S/FR that the survey packages have been delivered to the GQ.
Remember to assign completed PAPIs with appropriate outcome codes, in Case
Management, upon receiving the questionnaires from the GQ facility.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: Al seleccionar esta opción, usted está verificando que:
Usted debió haber seleccionado solamente esta opción si ha recibido notificación
del S/FR que los paquetes de la encuesta la encuesta se han entregado al GQ.
Recuerde asignar los PAPI completados con códigos de resultado adecuados, en
Case Management, al recibir el cuestionario de la instalación de GQ.
Check Instructions: Set outcome code to '801'
Type: Soft
Skip Instructions: {S} exit instrument
{C, G} go to INITSCREEN
Last Modified: Thursday, March 31, 2022
Page 17 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IDofPlace
Field
BInitial.IDofPlace
Description: Identification of Place
Form Pane Label: Identification of Place
SAS Name: IDOFPLACE
Tag Name: IDOFPLACE
Inherited Universe:
Universe: (PEAS_FL = {1} AND
INITSCREEN = {2, 3}) OR
(PEAS_FL = {1} AND BoP_Flag = {1} AND
INITSCREEN = {2})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
GENERAL/MAIN PHONE #: ^GQPHONE_Fill , ^GQEXT_Fill
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
Hello. My name is _________. I'm with the U.S. Census Bureau. We are currently
conducting an important survey in your community and I'd like to verify that
this is ^GQNAME_Fill?
(Use ^SPNAME_Fill if appropriate)
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHONE_Fill , ^GQEXT_Fill
Last Modified: Thursday, March 31, 2022
Page 18 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill, ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO
1: ^EMAILADDRESS_Fill
PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill, ^CP2EXT_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
Buenos días (Buenas tardes). Soy ________ de la Oficina del Censo de los EE.
UU. Actualmente estamos llevando a cabo una encuesta importante en su
comunidad, y quiero verificar que este lugar es el (la) ^GQNAME_Fill?
(Use ^SPNAME_Fill si es apropiado)
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQPHONE_Fill
Instructions: Group Quarters phone number.
Fills: GQEXT_Fill
Last Modified: Thursday, March 31, 2022
Page 19 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quarters phone number extension.
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Last Modified: Thursday, March 31, 2022
Page 20 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: SPNAME_Fill
Instructions: Special place name of the Group Quarters.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} AND (SPNAME = GQNAME) go to GQ_HAS_SP
{1} AND (SPNAME <> GQNAME) go to UPDATESPNAME
{2} AND INITSCREEN = {2} go to VERIFY_PHONUM
{2} AND INITSCREEN = {3} go to EVER_GQ_NAME
Skip Instructions for BoP
{1} AND INITSCREEN = {2} AND BoP_Flag = {1} go to SRCHKNWLRESP
{2} AND INITSCREEN = {2} AND BoP_Flag = {1} go to VERIFY_PHONUM
Last Modified: Thursday, March 31, 2022
Page 21 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
VERIFY_PHONUM
Field
BInitial.VERIFY_PHONUM
Description: Verify GQ Phone #
Form Pane Label:
SAS Name: VERIFY_PHONUM
Tag Name: VERIFY_PHONUM
Inherited Universe:
Universe: PEAS_FL = {1} AND BoP_Flag = {0, 1} AND
INITSCREEN = {2} AND
IDOFPLACE = {2}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
GENERAL/MAIN PHONE #: ^GQPHONE_Fill , ^GQEXT_Fill
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
Have I reached ^GQPHONE_Fill
Ext: ^GQEXT_Fill
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHONE_Fill , ^GQEXT_Fill
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
Last Modified: Thursday, March 31, 2022
Page 22 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO
1: ^EMAILADDRESS_Fill
PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
¿Es éste el ^GQPHONE_Fill?
Ext: ^GQEXT_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQPHONE_Fill
Instructions: Group Quarters phone number.
Fills: GQEXT_Fill
Last Modified: Thursday, March 31, 2022
Page 23 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quarters phone number extension.
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: Enumerated
Length: 1
Last Modified: Thursday, March 31, 2022
Page 24 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values: 1, 2
Array:
Skip Instructions: {1} go to EVER_GQ_NAME
{2} go to WRONG_NUM
Skip Instructions for BoP
{1}
AND
IDOFPLACE
=
{2}
AND
VERIFY_PHONUM_SOFTCHK
{2} AND BoP_Flag = {1} go to WRONG_NUM
Last Modified: Tuesday, January 25, 2022
BoP_Flag
=
{1}
go
to
Page 25 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
VERIFY_PHONUM_SOFTCHK
Check
BInitial.VERIFY_PHONUM_SOFTCHK
Description: reached BoP outside of interview period
Inherited Universe:
Universe: PEAS_FL = {1} AND BoP_Flag = {1} AND
INITSCREEN = {2} AND
IDofPlace = {2} AND
VERIFY_PHONUM = {1}
Universe Description:
Text: I'm sorry, I must've reached you by mistake. Thank you for your time.
Hang up and contact your RO immediately to inform them of the situation.
Spanish Text: Lo siento. Debo haberme comunicado con usted por equivocación. Gracias por
su tiempo.
Usted debe realizar una investigación para encontrar un número de teléfono válido.
Comuníquese con su RO inmediatamente para informarle esta situación.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: Set OUTCOME code = '803'
Type: Soft
Skip Instructions: {S} exit instrument
{C, G} go to VERIFY_PHONUM
Last Modified: Wednesday, January 26, 2022
Page 26 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
WRONG_NUM
Field
BInitial.WRONG_NUM
Description: Dialed Wrong Number
Form Pane Label:
SAS Name: WRONG_NUM
Tag Name: WRONG_NUM
Inherited Universe:
Universe: PEAS_FL = {1} AND BoP_Flag = {0, 1} AND
INITSCREEN = {2} AND
IDofPlace = {2} AND
VERIFY_PHONUM = {2}
Universe Description:
Question Text: I'm sorry, I must have dialed the wrong number. Thank you for your time.
Hang up.
Spanish Question Text: Lo siento, Debí haber marcado el número equivocado. Gracias por su tiempo.
Cuelgue el teléfono.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TContinue
Last Modified: Wednesday, January 26, 2022
Page 27 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Value:
Mnemonic:
1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
Enter 1 to continue
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set OUTCOME = '803'
{1} AND INITSCREEN = {2} THEN SET TEL_PV = TELE {2}
Skip Instructions: {1} exit instrument AND go to notes
Last Modified: Thursday, March 31, 2022
Page 28 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
EVER_GQ_NAME
Field
BInitial.EVER_GQ_NAME
Description: Has place ever been...
Form Pane Label:
SAS Name: EVER_GQ_NAME
Tag Name: EVER_GQ_NAME
Inherited Universe:
Universe: PEAS_FL = {1} AND
INITSCREEN = {2, 3} AND
IDOFPLACE = {2} AND
(VERIFY_PHONUM = {1} IF INITSCREEN = {2})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
GENERAL/MAIN PHONE #: ^GQPHONE_Fill , ^GQEXT_Fill
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Has this place ever operated under the name of ^GQNAME_Fill?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHONE_Fill , ^GQEXT_Fill
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
Last Modified: Thursday, March 31, 2022
Page 29 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO
1: ^EMAILADDRESS_Fill
PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
¿Ha funcionado alguna vez este lugar con el nombre de ^GQNAME_Fill?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQPHONE_Fill
Instructions: Group Quarters phone number.
Last Modified: Thursday, March 31, 2022
Page 30 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQEXT_Fill
Instructions: Group Quarters phone number extension.
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: Enumerated
Last Modified: Thursday, March 31, 2022
Page 31 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set OUTCOME = '802'
Skip Instructions: {1} go to UPDATEGQNAME
{2} go to EVER_GQ_NAME_SOFTCHK
Last Modified: Friday, March 25, 2022
Page 32 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
EVER_GQ_NAME_SOFTCHK
Check
BInitial.EVER_GQ_NAME_SOFTCHK
Description: trying to find information on GQ that has relocated
Inherited Universe:
Universe: PEAS_FL = {1} AND
INITSCREEN = {2, 3} AND
IDofPlace = {2} AND
EVER_GQ_NAME = {2}
Universe Description:
Text: Would you happen to know how I could reach ^GQNAME_Fill or where
^GQNAME_Fill is or might be located?
Suppress exits the instrument and goes to Notes.
Close and Goto go back to EVER_GQ_NAME.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: ¿Sabe usted como puedo llegar a ^GQNAME_Fill o donde está localizado o se
puede encontrar ^GQNAME_Fill?
Suppress sale del instrumento y va a las Notas.
Close y Goto regrasan a EVER_GQ_NAME.
Check Instructions:
Type: Soft
Skip Instructions: {S} exit instrument
{C, G} go to EVER_GQ_NAME
Last Modified: Friday, March 25, 2022
Page 33 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Wednesday, January 26, 2022
Page 34 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UPDATEGQNAME
Field
BInitial.UPDATEGQNAME
Description: Update GQ Name
Form Pane Label:
SAS Name: UPDATEGQNAME
Tag Name: UPDATEGQNAME
Inherited Universe:
Universe: PEAS_FL = {1} AND
INITSCREEN = {2, 3} AND
IDOFPLACE = {2} AND
(IF INITSCREEN = {2} AND VERIFY_PHONUM = {1}) AND
EVER_GQ_NAME = {1}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
What is the name of this place?
Update GQ name (GQNAME - 100 characters)
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
¿Cuál es el nombre de este lugar?
Actualice el nombre del GQ (GQNAME - 100 caracteres)
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Wednesday, January 26, 2022
Page 35 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 100
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: (GQNAME = SPNAME) go to GQ_HAS_SP
(GQNAME <> SPNAME) go to UPDATESPNAME
Last Modified: Wednesday, January 26, 2022
Page 36 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UPDATESPNAME
Field
BInitial.UPDATESPNAME
Description: Update SP Name
Form Pane Label: Update Special Place Name
SAS Name: UPDATESPNAME
Tag Name: UPDATESPNAME
Inherited Universe:
Universe: (PEAS_FL = {1} AND
INITSCREEN = {2, 3} AND
IDOFPLACE = {2} AND
(IF INITSCREEN = {2} AND VERIFY_PHONUM = {1}) AND
EVER_GQ_NAME = {1} AND UPDATEGQNAME <> SPNAME
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
Is ^GQNAME_Fill owned by or affiliated with ^SPECPLACE_Fill?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
¿Es ^GQNAME_Fill propiedad de ^SPECPLACE_Fill o está asociado con
éste(a)?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Last Modified: Wednesday, January 26, 2022
Page 37 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: Prefill all of these fields with the current value.
Skip Instructions: {1} go to VERIFYADDR
{2} go to GQ_HAS_SP
Last Modified: Tuesday, January 25, 2022
Page 38 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GQ_HAS_SP
Field
BInitial.GQ_HAS_SP
Description: Is GQ associated with SP
Form Pane Label:
SAS Name: GQ_HAS_SP
Tag Name: GQ_HAS_SP
Inherited Universe:
Universe: (PEAS_FL = {1} AND INITSCREEN = {2, 3} AND IDOFPLACE = {1} AND GQNAME =
SPNAME) OR
(PEAS_FL = {1} AND INITSCREEN = {2, 3} AND IDOFPLACE = {1} AND GQNAME
<> SPNAME AND UPDATESPNAME = {2}) OR
(PEAS_FL = {1} AND INITSCREEN = {2, 3} AND IDOFPLACE = {2} AND
INITSCREEN = {2} AND VERIFY_PHONUM = {1} AND EVER_GQ_NAME = {1} AND
UPDATEGQNAME = {NOT EMPTY} AND GQNAME = SPNAME) OR
(PEAS_FL = {1} AND INITSCREEN = {2, 3} AND IDOFPLACE = {2} AND
INITSCREEN = {3} AND EVER_GQ_NAME = {1} AND UPDATEGQNAME = {NOT
EMPTY} AND GQNAME = SPNAME AND UPDATESPNAME = {2})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
Is ^GQNAME_Fill owned by or affiliated with another organization or company?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
¿Es ^GQNAME_Fill propiedad de otra organización o compañía, o está
asociado con ésta?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, January 25, 2022
Page 39 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Special Instructions: If UPDATESPNAME = {2}, replace the SPECPLACE_Fill with the GQNAME
Skip Instructions: {1} go to NEW_SP_NAME
{2, D, R} go to VERIFYADDR
Last Modified: Tuesday, January 25, 2022
Page 40 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEW_SP_NAME
Field
BInitial.NEW_SP_NAME
Description: New Special Place name
Form Pane Label:
SAS Name: NEW_SP_NAME
Tag Name: NEW_SP_NAME
Inherited Universe:
Universe: PEAS_FL = {1} AND INITSCREEN = {2, 3} AND IDOFPLACE = {1} AND SPNAME =
GQNAME AND GQ_HAS_SP = {1} OR
PEAS_FL = {1} AND INITSCREEN = {2, 3} AND IDOFPLACE = {1} AND SPNAME
<> GQNAME AND UPDATESPNAME = {2} AND GQ_HAS_SP = {1} OR
PEAS_FL = {1} AND INITSCREEN = {2} AND IDOFPLACE = {2} AND
VERIFY_PHONUM = {1} AND EVER_GQ_NAME = {1} AND GQ_HAS_SP = {1} OR
PEAS_FL = {1} AND INITSCREEN = {3} AND IDOFPLACE = {2} AND
EVER_GQ_NAME = {1} AND GQ_HAS_SP = {1} OR
PEAS_FL = {1} AND INITSCREEN = {2, 3} AND UPDATESPNAME = {2} AND
GQ_HAS_SP = {1}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
What is the name of that company or organization that ^GQNAME_Fill is
associated with?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
¿Cuál es el nombre de la compañía o organización con la cual ^GQNAME_Fill
está asociado(a)?
PR English Question Text:
PR Spanish Question Text:
Last Modified: Tuesday, January 25, 2022
Page 41 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 100
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, D, R} go to VERIFYADDR
Last Modified: Tuesday, January 25, 2022
Page 42 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
VERIFYADDR
Field
BInitial.VERIFYADDR
Description: Address on file correct?
Form Pane Label: Address on file correct?
SAS Name: VERIFYADDR
Tag Name: VERIFYADDR
Inherited Universe:
Universe: PEAS_FL = {1} AND INITSCREEN = {2} AND VERIFY_PHONUM = {1} AND
EVER_GQ_NAME = {1} AND UPDATESPNAME = {1} OR
PEAS_FL = {1} AND INITSCREEN = {3} AND EVER_GQ_NAME = {1} AND
UPDATESPNAME = {1} OR
PEAS_FL = {1} AND INITSCREEN = {2, 3} AND GQ_HAS_SP = {1} AND
NEW_SP_NAME <> {EMPTY} OR
PEAS_FL = {1} AND INITSCREEN = {2, 3} AND GQ_HAS_SP = {2, D, R}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPNAME_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
I have your address listed as ^GQADDLINE1_Fill
^GQADDLINE2_Fill
Is this correct?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL:
^SPNAME_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
Tenemos su dirección listada como ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Es esto correcto?
PR English Question Text:
PR Spanish Question Text:
Last Modified: Tuesday, January 25, 2022
Page 43 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPNAME_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: PRFLAG = {1}, only display PRADDR1, PRADDR2 and PHYSDES in form pane.
Last Modified: Tuesday, January 25, 2022
Page 44 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Skip Instructions: {1} go to SRCHKNWLRESP
{2} AND PRFLAG = {0} go to NEWHNO
{2} AND PRFLAG = {1} go to NEWPRADDR1
Last Modified: Tuesday, January 25, 2022
Page 45 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWHNO
Field
BInitial.NEWHNO
Description: House number (HNO - 10 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PEAS_FL = {1} AND PRFLAG = {0} AND INITSCREEN = {2, 3} AND IDOFPLACE =
{1} AND VERIFYADDR = {2} OR
PEAS_FL = {1} AND PRFLAG = {0} AND INITSCREEN = {2} AND IDOFPLACE = {2}
AND VERIFY_PHONUM = {1} AND EVER_GQ_NAME = {1} AND VERIFYADDR =
{2} OR
PEAS_FL = {1} AND PRFLAG = {0} AND INITSCREEN = {3} AND IDOFPLACE = {2}
AND EVER_GQ_NAME = {1} AND VERIFYADDR = {2} OR
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the house number. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el número de la casa. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, January 25, 2022
Page 46 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 10
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY} go to NEWSTRPRXD
{NOT EMPTY} go to NEWHNOSUF
Last Modified: Friday, March 11, 2022
Page 47 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWHNOSUF
Field
BInitial.NEWHNOSUF
Description: House number suffix (HNOSUF - 3 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND NEWHNO
= {NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the house number suffix. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Sufijo del número de la casa. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 48 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 3
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWSTRPRXD
Last Modified: Friday, March 11, 2022
Page 49 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTRPRXD
Field
BInitial.NEWSTRPRXD
Description: Street name prefix dir. (STRPRXD - 2 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND (NEWHNO
= {EMPTY} OR NEWHNOSUF = {EMPTY, NOT EMPTY})
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the street name prefix direction. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Prefijo de dir. del nombre de la calle. Presione ENTER si el
campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 50 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 2
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWSTRPRXT
Last Modified: Friday, March 11, 2022
Page 51 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTRPRXT
Field
BInitial.NEWSTRPRXT
Description: Street name prefix type (STRPRXT - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWSTRPRXD = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the street name prefix type. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Tipo de prefijo del nombre de la calle. Presione ENTER si el
campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 52 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWSTRNAME
Last Modified: Friday, March 11, 2022
Page 53 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTRNAME
Field
BInitial.NEWSTRNAME
Description: Street name (STRNAME - 28 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWSTRPRXT = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the street name. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Nombre de la calle. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Last Modified: Friday, March 11, 2022
Page 54 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 28
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: NEWHNO = {EMPTY} AND STRNAME = {EMPTY, NOT EMPTY} go to
NEWSTRSFXT
NEWHNO = {NOT EMPTY} AND STRNAME = {NOT EMPTY} go to NEWSTRSFXT
NEWHNO = {NOT EMPTY} AND STRNAME = {EMPTY} display
NEWSTRNAME_SOFTCHK
Last Modified: Thursday, December 2, 2021
Page 55 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWSTRNAME
Check
BInitial.HARD_NEWSTRNAME
Description: Enter a street name
Inherited Universe:
Universe: NEWHNO = {NOT EMPTY} AND STRNAME = {EMPTY}
Universe Description:
Text: You have entered that the location address contains a house number. A street name
must be entered.
Spanish Text: Usted ha contestado que la dirección del lugar contiene un número de casa. Tiene
que ingresar el nombre de la calle.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: Suppress offline
Type: Hard
Skip Instructions: {C, G} go to NEWSTRNAME
Last Modified: Friday, March 11, 2022
Page 56 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTRSFXT
Field
BInitial.NEWSTRSFXT
Description: Street name suffix type (STRSFXT - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND
((VERIFYADDR = {2} AND PRFLAG = {0} AND NEWHNO = {NOT EMPTY} AND
NEWSTRNAME = {NOT EMPTY}) OR
(VERIFYADDR = {2} AND PRFLAG = {0} AND NEWHNO = {EMPTY} AND
NEWSTRNAME = {EMPTY}))
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the street name suffix type. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Tipo de sufijo del nombre de la calle. Presione ENTER si el
campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, March 11, 2022
Page 57 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWSTRSFXD
Last Modified: Friday, March 11, 2022
Page 58 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTRSFXD
Field
BInitial.NEWSTRSFXD
Description: Street name suffix dir. (STRSFXD - 2 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWSTRSFXT = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the street name suffix direction. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el sufijo de dir. del nombre de la calle. Presione ENTER si el
campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 59 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 2
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWSTRNAMX
Last Modified: Friday, March 11, 2022
Page 60 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTRNAMX
Field
BInitial.NEWSTRNAMX
Description: Street name extension (STRNAMX - 3 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWSTRSFXD = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the street name extension. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Extensión del nombre de la calle. Presione ENTER si el campo
no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 61 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 3
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWUNITDES
Last Modified: Friday, March 11, 2022
Page 62 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWUNITDES
Field
BInitial.NEWUNITDES
Description: Unit designation (UNITDES - 20 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWSTRNAMX = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the unit designation. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Designación de la unidad. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 63 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 20
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWRRDESC
Last Modified: Friday, March 11, 2022
Page 64 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWRRDESC
Field
BInitial.NEWRRDESC
Description: Rural route description (RRDESC - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWUNITDES = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the rural route description. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Descripción de la ruta rural. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 65 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Special Instructions: RRID is a must fill if RRDESC has a value.
Do not allow just spaces. Trim off spaces at beginning and end.
Skip Instructions: {EMPTY} go to NEWBOXDESC
{NOT EMPTY} go to NEWRRID
Last Modified: Friday, March 11, 2022
Page 66 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWRRID
Field
BInitial.NEWRRID
Description: Rural route ID (RRID - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWRRDESC = {NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the rural route ID. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Número de identificación de la ruta rural. Presione ENTER si el
campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 67 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 4
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: RRID is a must fill if RRDESC has a value.
Do not allow just spaces. Trim off spaces at beginning and end.
Skip Instructions: {EMPTY} go to HARDNEWRRID
{NOT EMPTY} go to NEWBOXDESC
Last Modified: Thursday, December 2, 2021
Page 68 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWRRID
Check
BInitial.HARD_NEWRRID
Description: Enter RR ID
Inherited Universe:
Universe: NEWRRDESC = {NOT EMPTY} AND NEWRRID = {EMPTY}
Universe Description:
Text: A valid RR descriptor is required.
Spanish Text: Se requiere un descriptor de ruta rural válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWRRID
Last Modified: Friday, March 11, 2022
Page 69 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWBOXDESC
Field
BInitial.NEWBOXDESC
Description: Box or PO box (BOXDESC - 6 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND
((VERIFYADDR = {2} AND PRFLAG = {0} AND NEWRRDESC = {EMPTY}) OR
(VERIFYADDR = {2} AND PRFLAG = {0} AND NEWRRID = {NOT EMPTY}))
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the Box or PO box. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Buzón o PO BOX. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 70 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 6
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Special Instructions: BOXID is a must fill if BOXDESC has a value.
Do not allow just spaces. Trim off spaces at beginning and end.
Skip Instructions: {EMPTY} go to NEWPO
{NOT EMPTY} go to NEWBOXID
Last Modified: Friday, March 11, 2022
Page 71 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWBOXID
Field
BInitial.NEWBOXID
Description: Box ID (BOXID - 10 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {0} AND
NEWBOXDESC = {NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the Box ID. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Número de identificación del buzón. Presione ENTER si el campo
no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 72 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 10
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: BOXID is a must fill if BOXDESC has a value.
Do not allow just spaces. Trim off spaces at beginning and end.
Skip Instructions: {EMPTY} go to HARDNEWBOXID
{NOT EMPTY} go to NEWPO
Last Modified: Friday, December 3, 2021
Page 73 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWBOXID
Check
BInitial.HARD_NEWBOXID
Description: Enter Box ID
Inherited Universe:
Universe: NEWBOXDESC = {NOT EMPTY} AND NEWBOXID = {EMPTY}
Universe Description:
Text: A valid box ID is required.
Spanish Text: Se requiere una identificación de buzón válida.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWBOXID
Last Modified: Friday, March 11, 2022
Page 74 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWPO
Field
BInitial.NEWPO
Description: City name (PO - 28 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND
((VERIFYADDR = {2} AND PRFLAG = {0} AND NEWBOXDESC = {EMPTY}) OR
(VERIFYADDR = {2} AND PRFLAG = {0} AND NEWBOXID = {NOT EMPTY}) OR
(VERIFYADDR = {2} AND PRFLAG = {1} AND NEWPRADDR2 = {EMPTY, NOT
EMPTY}))
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the city name. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Nombre de la ciudad. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, March 11, 2022
Page 75 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 28
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: NEWPO (City name) and NEWST (State) are must fills
Skip Instructions: {NOT EMPTY} go to NEWST
Last Modified: Friday, March 11, 2022
Page 76 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWST
Field
BInitial.NEWST
Description: State (ST - 2 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND NEWPO = {NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the state. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Estado. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Last Modified: Friday, March 11, 2022
Page 77 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 2
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: NEWPO (City name) and NEWST (State) are must fills
Skip Instructions: {VALID STATE ABBREVIATION} go to NEWZIP5
{XX} go to HARDNEWST1
{NON-VALID STATE ABBREVIATION} go to HARDNEWST2
Last Modified: Friday, December 3, 2021
Page 78 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWST1
Check
BInitial.HARD_NEWST1
Description: XX is not a valid state abbreviation
Inherited Universe:
Universe: NEWST = XX
Universe Description:
Text: XX is only allowed in training cases. Please change the state to a valid state.
Spanish Text: XX se permite solo en los casos de capacitación. Por favor cambie el estado a un
estado válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWST
Last Modified: Friday, December 3, 2021
Page 79 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
HARD_NEWST2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
BInitial.HARD_NEWST2
Description: Enter a valid state abbreviation
Inherited Universe:
Universe: NEWST = 'NON-VALID State Abbreviation'
Universe Description:
Text: Invalid state code entry
Spanish Text: Se ingresó un código de estado que no es válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWST
Last Modified: Friday, December 3, 2021
Page 80 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWST3
Check
BInitial.HARD_NEWST3
Description: Cannot enter PR if case is not PRCS
Inherited Universe:
Universe: PRFLAG = {0} AND NEWST = {PR}
Universe Description:
Text: Invalid state code entry
Spanish Text: Se ingresó un código de estado que no es válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWST
Last Modified: Tuesday, December 7, 2021
Page 81 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
HARD_NEWST4
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
BInitial.HARD_NEWST4
Description: Must enter PR if case is PRCS
Inherited Universe:
Universe: PRFLAG = {1} AND NEWST <> {PR}
Universe Description:
Text: Invalid state code entry
Spanish Text: Se ingresó un código de estado que no es válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWST
Last Modified: Friday, March 11, 2022
Page 82 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWZIP5
Field
BInitial.NEWZIP5
Description: Zip5 (ZIP5 - 5 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND NEWST = {VALID STATE
ABBREVIATION}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the Zip5. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Código Postal5. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Last Modified: Friday, March 11, 2022
Page 83 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 5
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: a valid zip code is 00501 to 99950 and is 5 digits
Array:
Skip Instructions: {VALID ZIP CODE, EMPTY} go to NEWZIP4
{LESS THAN 5 DIGITS} go to HARDNEWZIP5
Last Modified: Friday, December 3, 2021
Page 84 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWZIP5
Check
BInitial.HARD_NEWZIP5
Description: Enter a 5 digit zip code.
Inherited Universe:
Universe: NEWZIP5 < {5 characters}
Universe Description:
Text: - Enter a complete five-digit ZIP code.
Spanish Text: - Entre un código postal completo de 5 dígitos.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWZIP5
Last Modified: Friday, March 11, 2022
Page 85 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWZIP4
Field
BInitial.NEWZIP4
Description: Zip4 (ZIP4 - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND NEWZIP5 = {EMPTY, VALID
ZIP CODE}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the Zip4. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Código Postal4. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Last Modified: Friday, March 11, 2022
Page 86 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {VALID ZIP4, EMPTY} go to NEWPHYSDES
{LESS THAN 4 DIGITS ENTERED} go to HARDNEWZIP4
Last Modified: Friday, December 3, 2021
Page 87 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWZIP4
Check
BInitial.HARD_NEWZIP4
Description: NEWZIP4 must have 4 digits or field must be empty.
Inherited Universe:
Universe: NEWZIP4 < {4 characters}
Universe Description:
Text: You must enter all four digits of the ZIP code extension.
If you don't know the four digit ZIP extension, go back and press the 'Delete' key to
leave the field blank.
Spanish Text: Usted tiene que ingresar todos los cuatro dígitos adicionales del código postal.
Si usted no sabe los cuatro dígitos adicionales del código postal, vuelva al campo y
presione la tecla 'Delete' para dejarlo en blanco.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWZIP4
Last Modified: Friday, March 11, 2022
Page 88 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWPHYSDES
Field
BInitial.NEWPHYSDES
Description: Physical description (PHYSDES - 99 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND NEWZIP4 = {EMPTY, VALID
ZIP4}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
PHYSICAL DESCRIPTION: ^PHYSDES_Fill
What is the correct address for ^GQNAME_Fill?
Update the physical description. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
DESCRIPCIÓN FÍSICA: ^PHYSDES_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Descripción física. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, March 11, 2022
Page 89 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: PHYSDES_Fill
Instructions: Physical description or location of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 99
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to ADDRCHNG
Last Modified: Friday, March 11, 2022
Page 90 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWPRADDR1
Field
BInitial.NEWPRADDR1
Description: PR address line 1 (PRADDR1 - 60 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {1}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the Puerto Rico address line 1. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Línea de dirección de PR 1. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Last Modified: Friday, March 11, 2022
Page 91 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 60
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWPRADDR2
Last Modified: Friday, March 11, 2022
Page 92 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWPRADDR2
Field
BInitial.NEWPRADDR2
Description: PR address line 2 (PRADDR2 - 60 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND PRFLAG = {1} AND
NEWPRADDR1 = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: OLD ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the correct address for ^GQNAME_Fill?
Update the Puerto Rico address line 2. Press ENTER if the field is not applicable.
Spanish Question Text: DIRECCIÓN ANTERIOR: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cúal es la dirección correcta de ^GQNAME_Fill?
Actualice todo el Línea de dirección de PR 2. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQADDLINE1_Fill
Last Modified: Friday, March 11, 2022
Page 93 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: String
Length: 60
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to NEWPO
Last Modified: Friday, March 11, 2022
Page 94 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ADDRCHNG
Field
BInitial.ADDRCHNG
Description: FR Instruction to document why it is an address change.
Form Pane Label:
SAS Name: ADDRCHNG
Tag Name: ADDRCHNG
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND VERIFYADDR = {2} AND NEWPHYDES = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: If INITSCREEN = {2} then
Does the address change represent a physical location that is different from the
sample GQ Address?
If INITSCREEN = {3} then
Does the address change represent a physical location that is different from the
sample GQ Address? If so, select Option 1 for Yes. If not, select Option 2 for No.
Spanish Question Text: If INITSCREEN = {2} then
¿Representa este cambio de dirección una localización física que es diferente
de la dirección del GQ en la muestra?
If INITSCREEN = {3} then
¿Representa este cambio de dirección una localización física que es diferente de la
dirección del GQ en la muestra? Si es así, seleccione Opción 1 para Sí. Si no,
seleccione la Opción 2 para no.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, March 11, 2022
Page 95 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1, 2} go to SRCHKNWLRESP
Last Modified: Thursday, March 31, 2022
Page 96 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SRCHKNWLRESP
Field
BInitial.SRCHKNWLRESP
Description: Search for Knowledgeable Resp
Form Pane Label: Search for Knowledgeable Resp
SAS Name: SRCHKNWLRESP
Tag Name: SRCHKNWLRESP
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND
((VERIFYADDR = {1}) OR
(ADDRCHNG = {1, 2}) OR
(IDOFPLACE = {1} AND BoP_Flag = {1}))
Universe Description:
Question Text: SPECIAL PLACE NAME:
^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
GENERAL/MAIN PHONE #: ^GQPHONE_Fill, ^GQEXT_Fill
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
^SRCHKNWLRESP_Fill
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL:
^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHONE_Fill , ^GQEXT_Fill
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
Last Modified: Thursday, March 31, 2022
Page 97 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO
1: ^EMAILADDRESS_Fill
PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
^SRCHKNWLRESP_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: GQPHONE_Fill
Instructions: Group Quarters phone number.
Last Modified: Thursday, March 31, 2022
Page 98 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQEXT_Fill
Instructions: Group Quarters phone number extension.
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Fills: SRCHKNWLRESP_Fill
Last Modified: Thursday, March 31, 2022
Page 99 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: If BoP_Flag=1, then "May I speak with ^CP1NAME_Fill?"
else "I'd like to speak with someone who can give me the authority to conduct
this survey which means getting access to interview selected people staying at
^GQNAME_Fill. Would that person be you or should I speak to someone else?"
Spanish instructions: If BoP_Flag=1, then "¿Puedo hablar con ^CP1NAME_Fill?"
else "Quisiera hablar con alguien que pueda darme la autorización para llevar a
cabo esta encuesta, lo que significa obtener acceso a entrevistar a personas
seleccionadas que se quedan en ^GQNAME_Fill. ¿Sería usted esa persona o
debería hablar con otra persona?"
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TSRCHKNWLRESP
Value:
Mnemonic:
Description:
1
Yes, this is the correct person
2
No, need to speak to someone else
1 (BoP only)
Yes, they are available.
2 (BoP only)
No, you'll need to call back.
Spanish
Value:
Mnemonic:
Description:
1
Sí, ésta es la persona correcta
2
No, necesita hablar con otra persona
1 (BoP only)
Sí, están disponibles
2 (BoP only)
No, tendrá que volver a llamar
x Don't Know
x Refuse
Empty
Last Modified: Thursday, March 31, 2022
Page 100 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
On Input
x On Output
Store Instructions: Valid Values for BoP only: 1, 2 only
Array:
Skip Instructions: {1, 2} go to NEWCP1NAME
{D, R} go to INTRO
Skip Instructions for BoP
{1} AND BoP_Flag = {1} go to INTRO
{2} AND BoP_Flag = {1} go to TCALLBACK
{D, R} go to HARDSRCHKNWLRESP
Last Modified: Friday, December 3, 2021
Page 101 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_SRCHKNWLRESP
Check
BInitial.HARD_SRCHKNWLRESP
Description: BoP does not allow Don't Know or Refuse
Inherited Universe:
Universe: SRCHKNWLRESP = {D, R} AND BoP_Flag = {1}
Universe Description:
Text: Refuse or Don't know not allowed with BoP.
Spanish Text: No se permite "Se rehúsa" o "No sabe" para la Oficina de Prisiones.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to SRCHKNWLRESP
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP1NAME
Field
BInitial.NEWCP1NAME
Description: Contact person name
Form Pane Label: Update Contact #1 Name
SAS Name: NEWCP1NAME
Tag Name: NEWCP1NAME
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND SRCHKNWLRESP = {1, 2} AND BoP_Flag <> {1}
Universe Description:
Question Text: If SRCHKNWLRESP={1} -- May I have your name?
If SRCHKNWLRESP={2} -- May I have the name of the person who can help me?
Enter Contact #1's information. Press ENTER if a field is not applicable.
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
Spanish Question Text: If SRCHKNWLRESP={1} -- ¿Me puede dar su nombre?
If SRCHKNWLRESP={2} -- ¿Me puede dar el nombre de la persona que puede
ayudarme?
Entre la información del Contacto #1. Presione ENTER si un campo no es aplicable.
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO 1:
^EMAILADDRESS_Fill
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Type: String
Length: 42
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, R} go to NEWCP1TITL
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP1TITL
Field
BInitial.NEWCP1TITL
Description: Contact person title
Form Pane Label: NEWCP1TITL
SAS Name: NEWCP1TITL
Tag Name: NEWCP1TITL
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND NEWCP1NAME = {NOT EMPTY, R}
Universe Description:
Question Text: If SRCHKNWLRESP={1} -- May I have your title?
If SRCHKNWLRESP={2} -- May I have the title of the person who can help me?
Enter Contact #1's information. Press ENTER if a field is not applicable.
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
Spanish Question Text: If SRCHKNWLRESP={1} -- ¿Me puede dar su título?
If SRCHKNWLRESP={2} -- ¿Me puede dar el título de la persona que puede
ayudarme?
Entre la información del Contacto #1. Presione ENTER si un campo no es aplicable.
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO 1:
^EMAILADDRESS_Fill
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, March 31, 2022
Page 105 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Type: String
Length: 22
x Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to NEWCP1PHON
Last Modified: Thursday, March 31, 2022
Page 106 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP1PHON
Field
BInitial.NEWCP1PHON
Description: Contact phone number
Form Pane Label: NEWCP1PHON
SAS Name: NEWCP1PHON
Tag Name: NEWCP1PHON
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND NEWCP1TITL = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Question Text: If SRCHKNWLRESP={1} -- May I have your phone number?
If SRCHKNWLRESP={2} -- May I have the phone number of the person who can
help me?
Enter Contact #1's information. Press ENTER if a field is not applicable.
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
Spanish Question Text: If SRCHKNWLRESP={1} -- ¿Me puede dar su número de teléfono?
If SRCHKNWLRESP={2} -- ¿Me puede dar el número de teléfono de la persona
que puede ayudarme?
Entre la información del Contacto #1. Presione ENTER si un campo no es aplicable.
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO 1:
^EMAILADDRESS_Fill
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Type: Integer
Length: 10
Min:
Max:
Don't Know
x Refuse
x Empty
On Input
x On Output
Store Instructions: For CP1PHON - numeric
Array:
Special Instructions: If a non-valid phone number is entered, delete entry
Last Modified: Thursday, March 31, 2022
Page 108 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Skip Instructions: {VALID PHONE NUMBER} go to NEWCP1EXT
{EMPTY, R} go to EMAILADDRESS
NEWCP1PHON < {10 digits} display HARDNEWCP1PHON
NEWCP1PHON area code {begins with 0 OR 1} go to HARDNEWCP1PHON2
NEWCP1PHON prefix {begins with 0 OR 1} go to HARDNEWCP1PHON3
Last Modified: Friday, December 3, 2021
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Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWCP1PHON
Check
BInitial.HARD_NEWCP1PHON
Description: New phone less than 10 digits
Inherited Universe:
Universe: NEWCP1PHON < {10 digits}
Universe Description:
Text: You must enter all ten digits of the contact person's phone number.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: Usted tiene que entrar todos los 10 dígitos del número de teléfono de la persona de
contacto.
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWCP1PHON
Last Modified: Friday, December 3, 2021
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Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWCP1PHON2
Check
BInitial.HARD_NEWCP1PHON2
Description: Area code begins with 0 or 1
Inherited Universe:
Universe: if 0 or 1 are the first digits of the area code
Universe Description:
Text: The Area Code cannot begin with a '0' or '1'.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: El código de área no puede empezar con un '0' ó '1'.
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWCP1PHON
Last Modified: Friday, December 3, 2021
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Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWCP1PHON3
Check
BInitial.HARD_NEWCP1PHON3
Description: Prefix begins with 0 or 1
Inherited Universe:
Universe: if 0 or 1 are the first digits of the prefix
Universe Description:
Text: The Phone Number cannot begin with a '0' or '1'.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: El número de teléfono no puede empezar con un '0' ó '1'.
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWCP1PHON
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP1EXT
Field
BInitial.NEWCP1EXT
Description: Contact extension
Form Pane Label: NEWCP1EXT
SAS Name: NEWCP1EXT
Tag Name: NEWCP1EXT
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND NEWCP1PHON = {VALID PHONE NUMBER}
Universe Description:
Question Text: If SRCHKNWLRESP={1} -- May I have your extension?
If SRCHKNWLRESP={2} -- May I have the extension of the person who can help
me?
Enter Contact #1's information. Press ENTER if the field is not applicable.
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
Spanish Question Text: If SRCHKNWLRESP={1} -- ¿Me puede dar su extensión?
If SRCHKNWLRESP={2} -- ¿Me puede dar la extensión de la persona que puede
ayudarme?
Entre la información del Contacto #1. Presione ENTER si un campo no es aplicable.
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO 1:
^EMAILADDRESS_Fill
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Type: Integer
Length: 5
Min:
Max:
x Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to EMAILADDRESS
Last Modified: Thursday, March 31, 2022
Page 114 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
EMAILADDRESS
Field
BInitial.EMAILADDRESS
Description: CP1 Email address
Form Pane Label: EMAILADDRESS
SAS Name: EMAILADDRESS
Tag Name: EMAILADDRESS
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND
(NEWCP1PHON = {EMPTY, R} OR
NEWCP1EXT = {EMPTY, NOT EMPTY, D, R})
Universe Description:
Question Text: If SRCHKNWLRESP=1 -- May I have your e-mail address?
If SRCHKNWLRESP=2 -- May I have the e-mail address of the person who can
help me?
Enter Contact #1's information. Press ENTER if the field is not applicable.
CONTACT PERSON 1: ^CP1NAME_Fill
CONTACT TITLE 1: ^CP1TITL_Fill
CONTACT PHONE 1: ^CP1PHON_Fill, ^CP1EXT_Fill
CONTACT EMAIL ADDRESS 1: ^EMAILADDRESS_Fill
Spanish Question Text: If SRCHKNWLRESP=1 -- ¿Me puede dar su dirección de correo electrónico?
If SRCHKNWLRESP=2 -- ¿Me puede dar la dirección de correo electrónico de la
persona que puede ayudarme?
Entre la información del Contacto #1. Presione ENTER si un campo no es aplicable.
PERSONA DE CONTACTO 1: ^CP1NAME_Fill
TÍTULO DEL CONTACTO 1: ^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1: ^CP1PHON_Fill , ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO 1:
^EMAILADDRESS_Fill
PR English Question Text:
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Type: String
Length: 80
x Don't Know
x Refuse
x Empty
x On Input
x On Output
Array:
Skip Instructions: {EMPTY, VALID EMAIL, D, R} AND SRCHKNWLRESP = {1} go to INTRO
{EMPTY, VALID EMAIL, D, R} AND SRCHKNWLRESP = {2} go to SPEAKNOW
{NON VALID EMAIL} go to EMAILADDRESS_SOFTCHK
Last Modified: Friday, December 3, 2021
Page 116 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
EMAILADDRESS_SOFTCHK
Check
BInitial.EMAILADDRESS_SOFTCHK
Description: E-mail address not formatted correctly.
Inherited Universe:
Universe: EMAILADDRESS contains "@" followed by "."
Universe Description:
Text: E-mail address is not the correct format. Please check.
Spanish Text: Dirección de correo electrónico no es el formato correcto. Verifique.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: This active signal is for when the email address does not have the correct format
(without the . or the @ sign).
Type: Soft
Skip Instructions: {C, G} go to EMAILADDRESS
{S} go to SPEAKNOW
Last Modified: Friday, March 25, 2022
Page 117 of 592
Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
SPEAKNOW
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BInitial.SPEAKNOW
Description: Speak to respondent
Form Pane Label:
SAS Name: SPEAKNOW
Tag Name: SPEAKNOW
Inherited Universe:
Universe: INITSCREEN = {2, 3} AND SRCHKNWLRESP = {2} AND EMAILADDRESS =
{EMPTY, VALID EMAIL, D, R} AND BoP_Flag <> {1}
Universe Description:
Question Text: May I talk to ^CP1NAME_Fill now?
Spanish Question Text: ¿Puedo hablar con ^CP1NAME_Fill ahora?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Last Modified: Friday, March 25, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to INTRO
{2, R} go to TCALLBACK
Last Modified: Thursday, March 31, 2022
Page 119 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
INTRO
Field
BInitial.INTRO
Description: Introduction
Form Pane Label:
SAS Name: INTRO
Tag Name: INTRO
Inherited Universe:
Universe: (INITSCREEN = {4, 6} AND PEAS_FL = {1}) OR
(SRCHKNWLRESP = {D, R} AND VERIFY_PHONUM = {1} AND INITSCREEN = {2})
OR
(SRCHKNWLRESP = {D, R} AND EVER_GQ_NAME = {1} AND INITSCREEN = {3})
OR
(SPEAKNOW = {1} AND SRCHKNWLRESP = {1, 2} AND VERIFY_PHONUM = {1}
AND INITSCREEN = {2}) OR
(SPEAKNOW = {1} AND SRCHKNWLRESP = {1, 2} AND EVER_GQ_NAME = {1}
AND INITSCREEN = {3}) OR
(EMAILADDRESS = {EMPTY, VALID EMAIL, D, R} AND SRCHKNWLRESP = {1, 2}
AND VERIFY_PHONUM = {1} AND INITSCREEN = {2}) OR
(EMAILADDRESS = {EMPTY, VALID EMAIL, D, R} AND SRCHKNWLRESP = {1, 2}
AND EVER_GQ_NAME = {1} AND INITSCREEN = {3}) OR
(SRCHKNWLRESP = {1} AND BoP_Flag = {1})
Universe Description:
Question Text: CONTACT PERSON 1:
CONTACT TITLE 1:
CONTACT PHONE 1:
CONTACT EMAIL ADDRESS 1:
APPOINTMENT DATE/TIME:
^CP1NAME_Fill
^CP1TITL_Fill
^CP1PHON_Fill Ext: ^CP1EXT_Fill
^EMAILADDRESS_Fill
^TCALLBACK_Fill or ^APPOINTMENT1_Fill
Fill #1 INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {2} AND
SPEAKNOW = {1}
Hello. My name is _____________. I'm with the U. S. Census Bureau. We are
currently conducting an important survey in your community, the
^American_PuertoRico_Fill. Did you receive the letter and brochure we mailed
to you recently?
If no, ask if they would like you to FAX them a copy.
Use FAQ #1 on the FAQ tab to provide further info on the survey. Use other FAQs
to answer additional questions.
To conduct this survey, I need to schedule a day and time to meet with you. On
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
the day of our meeting, I will collect additional information from you about
^GQNAME_Fill. Then, I will ask you for a current list, including contact
information, of all the people that are living/staying there. On the day of this
appointment, I can either drop off questionnaires or conduct the interview over
the phone with the people that have been selected. Do you have any
questions?
Fill #2 INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1, DK,
R}
We are currently conducting an important survey in your community, the
^American_PuertoRico_Fill. Did you receive the letter and brochure we mailed
to you recently?
If no, ask if they would like you to FAX them a copy.
Use FAQ #1 on the FAQ tab to provide further info on the survey. Use other FAQs
to answer additional questions.
To conduct this survey, I need to schedule a day and time to meet with you. On
the day of our meeting, I will collect additional information from you about
^GQNAME_Fill. Then, I will ask you for a current list, including contact
information, of all the people that are living/staying there. On the day of this
appointment, I can either drop off questionnaires or conduct the interview over
the phone with the people that have been selected. Do you have any
questions?
Fill #3 INITSCREEN = {3} AND PEAS_FL = {1} AND SRCHKNWLRESP = {2} AND
SPEAKNOW = {1}
Hello. My name is _____________. I'm with the U. S. Census Bureau. We are
currently conducting an important survey in your community, the
^American_PuertoRico_Fill. Did you receive the letter and brochure we mailed
to you recently?
If no, give them a copy of the letter and brochure.
Show GQ contact the questionnaire.
Use FAQ #1 on the FAQ tab to provide further info on the survey. Use other
FAQs to answer additional questions.
I want to describe what I would like to do during the rest of my visit here today.
First, I will collect additional information from you about ^GQNAME_Fill.
Second, I will ask you for a list of all people staying here as of today. Then, I
will need access to the people I select for the survey. I will do all of these tasks
today. I would like to continue with the interview. Do you have any questions?
Fill #4 INITSCREEN = {3} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1, DK,
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
R}
Did you receive the letter and brochure we mailed to you recently?
If no, give them a copy of the letter and brochure.
Show GQ contact the questionnaire.
Use FAQ #1 on the FAQ tab to provide further info on the survey. Use other FAQs
to answer additional questions.
I want to describe what I would like to do during the rest of my visit here today.
First, I will collect additional information from you about ^GQNAME_Fill.
Second, I will ask you for a list of all people staying here as of today. Then, I
will need access to the people I select for the survey. I will do all of these tasks
today. Do you have any questions?
Fill #5 INITSCREEN = {4, 6} AND PEAS_FL = {1}
Hello. My name is _____________. I'm with the U. S. Census Bureau. Thanks
for agreeing to meet with me today. I have a few more questions about
^GQNAME_Fill.
Special BoP_Fill #6 INITSCREEN = {2} AND PEAS_FL = {1} AND
SRCHKNWLRESP = {1} AND BoP_Flag = {1}
We are currently conducting an important survey in your community, the
^American_PuertoRico_Fill.
Use FAQ #1 on the FAQ tab to provide further info on the survey. Use other FAQs
to answer additional questions.
To conduct this survey, we need to schedule a day and time to meet with you.
We need to schedule an appointment with your facility to swear you in and
provide you with all of the materials necessary for data collection at your
facility. Do you have any questions?
Spanish Question Text: PERSONA DE CONTACTO 1:
^CP1NAME_Fill
TÍTULO DEL CONTACTO 1:
^CP1TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 1:
^CP1PHON_Fill
Ext: ^CP1EXT_Fill
DIRECCIÓN DE CORREO ELECTRÓNICO DEL CONTACTO 1:
^EMAILADDRESS_Fill
FECHA/HORA DE CITA:
or ^APPOINTMENT1_Fill
^TCALLBACK_Fill
Fill #1 INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {2} AND
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SPEAKNOW = {1}
Buenos días (Buenas tardes). Soy _____________ de la Oficina del Censo de
los EE. UU. Actualmente estamos llevando a cabo una encuesta importante en
su comunidad, la ^American_PuertoRico_Fill. ¿Recibió la carta y el folleto que
le enviamos recientemente?
Si no, pregúntele si desea que le mande por fax una copia.
Use FAQ #1 en la pagina de FAQs para proveer más información sobre la encuesta.
Use otras FAQs para responder a preguntas adicionales.
Para realizar esta encuesta, necesito programar una fecha y hora para reunirme
con usted. El día de nuestra reunión, recopilaré información adicional sobre
^GQNAME_Fill. Luego, le pediré una lista actualizada, incluyendo la
información de contacto, de todas las personas que están viviendo o
quedándose allí. El día de esta cita, puedo dejar los cuestionarios o realizar la
entrevista por teléfono con las personas que fueron seleccionadas. ¿Tiene
alguna pregunta?
Fill #2 INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1, DK,
R}
Actualmente estamos llevando a cabo una encuesta importante en su
comunidad, la ^American_PuertoRico_Fill. ¿Recibió la carta y el folleto que le
enviamos recientemente?
Si no, pregúntele si desea que le mande por fax una copia.
Use FAQ #1 en la pagina de FAQs para proveer más información sobre la encuesta.
Use otras FAQs para responder a preguntas adicionales.
Para realizar esta encuesta, necesito programar una fecha y hora para reunirme
con usted. El día de nuestra reunión, recopilaré información adicional sobre
^GQNAME_Fill. Luego, le pediré una lista actualizada, incluyendo la
información de contacto, de todas las personas que están viviendo o
quedándose allí. El día de esta cita, puedo dejar los cuestionarios o realizar la
entrevista por teléfono con las personas que fueron seleccionadas. ¿Tiene
alguna pregunta?
Fill #3 INITSCREEN = {3} AND PEAS_FL = {1} AND SRCHKNWLRESP = {2} AND
SPEAKNOW = {1}
Buenos días (Buenas tardes). Soy _____________ de la Oficina del Censo de
los EE. UU. Actualmente estamos llevando a cabo una encuesta importante en
su comunidad, la ^American_PuertoRico_Fill. ¿Recibió la carta y el folleto que
le enviamos recientemente?
Si no, entréguele una copia de la carta y el folleto.
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Muéstrele el cuestionario a la persona de contacto del GQ.
Use FAQ #1 en la pagina de FAQs para proveer más información sobre la encuesta.
Use otras FAQs para responder a preguntas adicionales.
Quiero describir lo que quisiera hacer durante el resto de mi visita aquí hoy.
Primero, recopilaré de usted información adicional sobre ^GQNAME_Fill.
Segundo, le pediré una lista de todas las personas que se están quedando aquí
al día de hoy. Luego, necesitaré tener acceso a las personas selecionadas para
la encuesta. Haré todas estas tareas hoy. Quisiera continuar con la entrevista.
¿Tiene alguna pregunta?
Fill #4 INITSCREEN = {3} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1, DK,
R}
¿Recibió la carta y el folleto que le enviamos recientemente?
Si no, entréguele una copia de la carta y el folleto.
Muéstrele el cuestionario a la persona de contacto del GQ.
Use FAQ #1 en la pagina de FAQs para proveer más información sobre la encuesta.
Use otras FAQs para responder a preguntas adicionales.
Quiero describir lo que quisiera hacer durante el resto de mi visita aquí hoy.
Primero, recopilaré de usted información adicional sobre ^GQNAME_Fill.
Segundo, le pediré una lista de todas las personas que se están quedando aquí
al día de hoy. Luego, necesitaré tener acceso a las personas selecionadas para
la encuesta. Haré todas estas tareas hoy. Quisiera continuar con la entrevista.
¿Tiene alguna pregunta?
Fill #5 INITSCREEN = {4, 6} AND PEAS_FL = {1}
Buenos días (Buenas tardes). Soy _____________ de la Oficina del Censo de
los EE. UU. Gracias por reunirse conmigo hoy. Tengo algunas preguntas más
sobre ^GQNAME_Fill.
Special BoP Fill #6 INITSCREEN = {2} AND PEAS_FL = {1} AND
SRCHKNWLRESP = {1} AND BoP_Flag = {1}
Actualmente estamos realizando una encuesta importante en su comunidad, la
^American_PuertoRico_Fill.
Use FAQ #1 en la pagina de FAQs para proveer más información sobre la encuesta.
Use otras FAQs para responder a preguntas adicionales.
Para llevar a cabo esta encuesta, necesito establecer un día y una hora para
reunirme con usted. Tenemos que hacer una cita en esta facilidad para
juramentarlo y proporcionarle todos los materiales necesarios para la
recopilación de datos en esta facilidad. ¿Tiene alguna pregunta?
Last Modified: Thursday, March 31, 2022
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Survey: ACS GQ LI 2023
Section: BInitial
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP1NAME_Fill
Instructions: Group Quarters. Name of contact person 1.
Fills: CP1TITL_Fill
Instructions: Group Quarters. Title of contact person 1.
Fills: CP1PHON_Fill
Instructions: Group Quarters. Contact person 1 phone number.
Fills: CP1EXT_Fill
Instructions: Group Quarters. Contact person 1 phone number extension.
Fills: EMAILADDRESS_Fill
Instructions: Fill for EMAIL ADDRESS.
Fills: TCALLBACK_Fill
Instructions: Time given to call back.
Fills: APPOINTMENT1_Fill
Instructions: Appointment date.
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
1
Mnemonic:
Description:
Entre 1 para continuar
x Don't Know
x Refuse
Empty
On Input
On Output
Store Instructions: Fill Instructions
INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {2} AND
SPEAKNOW = {1} display Fill #1
INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1, DK, R} display
Fill #2
INITSCREEN = {3} AND PEAS_FL = {1} AND SRCHKNWLRESP = {2} AND
SPEAKNOW = {1} display Fill #3
INITSCREEN = {3} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1, DK, R} display
Fill #4
INITSCREEN = {4, 6} AND PEAS_FL = {1} display Fill #5
Special BoP Fill Instruction:
INITSCREEN = {2} AND PEAS_FL = {1} AND SRCHKNWLRESP = {1} AND
BoP_Flag = {1} display Fill #6
Last Modified: Thursday, March 31, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Array:
Skip Instructions: {1} AND INITSCREEN = {2} AND PEAS_FL = {1} AND {ASSIGNED EARLYSTART
FLAG} go to APPOINTMENT1
{1} AND INITSCREEN = {2} AND PEAS_FL = {1} AND {NOT ASSIGNED
EARLYSTART FLAG} go to CONDINTNOW
{1} AND INITSCREEN = {3} AND PEAS_FL = {1} go to CONDINTNOW
{1} AND INITSCREEN = {4, 6} AND PEAS_FL = {1} go to MAILADDYSAME
{D, R} go to INTSTAT
Skip Instructions for PRCS
{1} AND INITSCREEN = {4, 6} AND PRFLAG = {1} go to MAILPRADDR1
Skip Instructions for BoP
{1} AND INITSCREEN = {2} AND PEAS_FL = {1} AND BoP_Flag = {1} go to
APPOINTMENT1
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CONDINTNOW
Field
BInitial.CONDINTNOW
Description: Conduct Interview Now?
Form Pane Label:
SAS Name: CONDINTNOW
Tag Name: CONDINTNOW
Inherited Universe:
Universe: (PEAS_FL = {1} AND INITSCREEN = {3} AND INTRO = {1}) OR
(PEAS_FL = {1} AND INITSCREEN = {2} AND {NOT ASSIGNED EARLY START
FLAG} AND INTRO = {1} AND BoP_flag <> {1})
Universe Description:
Question Text:
Are you going to conduct the interview now?
Try to convince the contact person to continue and finish the interviews today.
Spanish Question Text:
¿Va a llevar a cabo la entrevista ahora?
Intente convencer a la persona de contacto a continuar y terminar las entrevistas
hoy.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TYES_NO
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} AND (HNO OR STRNAME) = {EMPTY} go to MAILHNO
{1} AND (HNO AND STRNAME) = {NOT EMPTY} go to MAILADDYSAME
{1} AND PRFLAG = {1} go to MAILPRADDR1
{2} go to APPOINTMENT1
Last Modified: Friday, December 3, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
APPOINTMENT1
Field
BInitial.APPOINTMENT1
Description: Appointment Date
Form Pane Label:
SAS Name: APPOINTMENT1
Tag Name: APPOINTMENT1
Inherited Universe:
Universe: (PEAS_FL = {1} AND INITSCREEN = {2} AND {ASSIGNED EARLYSTART FLAG}
AND INTRO = {1}) OR
(INTRO = {1} AND INITSCREEN = {2} AND PEAS_FL = {1} AND BoP_Flag = {1}) OR
(CONDINTNOW = {2})
Universe Description:
Question Text: I want to schedule a date and time in the next few days to complete our
interview and the interviews with the people I select for the survey. What date
and time would be the best to visit?
Special BoP Question text
We would like to schedule this visit to happen as soon as possible. What date
and time would be the best for someone to visit you?
Ask for directions if necessary. Press Ctrl + F7 keys simultaneously and record
details in Notes.
Spanish Question Text: Quiero escoger una fecha y hora en los próximos días para completar nuestra
entrevista y las entrevistas con las personas que seleccioné para la encuesta.
¿Cuál sería la mejor fecha y hora para visitarlo?
Special BoP Question text
Quiero establecer un día y una hora en los próximos días para completar la
entrevista con las personas seleccionadas para la entrevista. ¿Qué día y hora
sería mejor para la visita?
Pida instrucciones de cómo llegar si las necesita. Presione las teclas Ctrl + F7
simultáneamente y anote los detalles en las Notas.
PR English Question Text:
Last Modified: Friday, December 3, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Date
Length: 20
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {DATE BEFORE INTPER} AND {PANEL 1 THROUGH 12} go to
HARDAPPOINTMENT1
{DATE DURING INTPER} AND INITSCREEN = {2, 3} AND PEAS_FL = {1} go to
APPOINTMENT2
Last Modified: Friday, December 3, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_APPOINTMENT1
Check
BInitial.HARD_APPOINTMENT1
Description: Can't set appointment before Interview Period
Inherited Universe:
Universe: APPOINTMENT1 DATE BEFORE INTPER AND PANEL 1 THROUGH 12
Universe Description:
Text:
Spanish Text:
An appointment cannot be made outside the interview period. Please reschedule.
No se puede hacer una cita que no sea dentro del periodo de entrevistas. Vuelva a
programarla.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: Set OUTCOME = '806'
This edit is not for BoP (panel 69)and RA (panels 41 & 49)
Type: Hard
Skip Instructions: {C, G} go to APPOINTMENT1
Last Modified: Friday, December 3, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
APPOINTMENT2
Field
BInitial.APPOINTMENT2
Description: Appointment Time
Form Pane Label:
SAS Name:
Tag Name: APPOINTMENT2
Inherited Universe:
Universe: APPOINTMENT1 = {NOT EMPTY}
Universe Description:
Question Text: I want to schedule a date and time in the next few days to complete our
interview and the interviews with the people I select for the survey. What date
and time would be the best to visit?
Special BoP Question text
We would like to schedule this visit to happen as soon as possible. What date
and time would be the best for someone to visit you?
Ask for directions if necessary. Press Ctrl + F7 keys simultaneously and record
details in Notes.
Spanish Question Text: Quiero escoger una fecha y hora en los próximos días para completar nuestra
entrevista y las entrevistas con las personas que seleccioné para la encuesta.
¿Cuál sería la mejor fecha y hora para visitarlo?
Special BoP Question text
Quiero establecer un día y una hora en los próximos días para completar la
entrevista con las personas seleccionadas para la entrevista. ¿Qué día y hora
sería mejor para la visita?
Pida instrucciones de cómo llegar si las necesita. Presione las teclas Ctrl + F7
simultáneamente y anote los detalles en las Notas.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Time
Length: 20
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY} AND INITSCREEN = {2, 3} AND PEAS_FL = {1} go to SECPROCS
Last Modified: Tuesday, December 28, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SECPROCS
Field
BInitial.SECPROCS
Description: Security Procedures?
Form Pane Label:
SAS Name: SECPROCS
Tag Name: SECPROCS
Inherited Universe:
Universe: (Before INTPER AND PEAS_FL = {1} AND INITSCREEN = {2, 3} AND INTRO = {1}
AND APPOINTMENT2 = {NOT EMPTY}) OR
(During INTPER AND PEAS_FL = {1} AND INITSCREEN = {2, 3} AND INTRO = {1}
AND CONDINTNOW = {2} AND APPOINTMENT2 = {NOT EMPTY}) OR
(PEAS_FL = {1} AND BoP_FLAG = {1} AND INITSCREEN = {2} AND IDofPlace = {1}
AND SRCHKNWLRESP = {1} AND INTRO = {1})
Universe Description:
Question Text: I will have a picture ID with me on the day of my visit. Are there any specific
procedures I need to know of prior to my visit for entering this place or
interviewing the residents?
If yes, press Ctrl + F7 keys simultaneously and record details in Notes.
Spanish Question Text: Tendré una identificación con una foto conmigo el día de mi visita. ¿Hay algún
procedimiento específico para entrar a este lugar o para entrevistar a los
residentes que deba conocer antes de mi visita?
Si contesta que sí, presione las teclas Ctrl + F7 simultáneamente y anote los
detalles en las Notas.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 28, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BInitial
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: 1. Pass out to CM
2. Set SECPROCS = SECURREQ
Skip Instructions: {1, 2} go to THANKYOU
Last Modified: Monday, May 20, 2019
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Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Bcontact2
Block
Bcontact2
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Friday, December 3, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILADDYSAME
Field
Bcontact2.MAILADDYSAME
Description: Update mailing address
Form Pane Label:
SAS Name: MAILADDYSAME
Tag Name: MAILADDYSAME
Inherited Universe:
Universe: (INTRO = {1} AND INITSCREEN = {4, 6} AND PEAS_FL = {1} AND PRFLAG = {0})
OR
(INITSCREEN = {2, 3} AND CONDINTNOW = {1} AND HNO = {NOT EMPTY} AND
STRNAME = {NOT EMPTY} AND PRFLAG = {0})
Universe Description:
Question Text: SPECIAL PLACE NAME:
^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
PHYSICAL DESCRIPTION: ^PHYSDES_Fill
Is (read address above) also the mailing address for ^GQNAME_Fill?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL:
^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
DESCRIPCIÓN FÍSICA:
^PHYSDES_Fill
¿Es (lea la dirección anterior) también la dirección postal del GQ cuyo nombre
aparece en ^GQNAME_Fill?
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 138 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: PHYSDES_Fill
Instructions: Physical description or location of the Group Quarters.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
Last Modified: Friday, December 3, 2021
Page 139 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
On Input
x On Output
Array:
Skip Instructions: {1} go to NEWBLDGNAME
{2} go to MAILHNO
Last Modified: Monday, April 4, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILHNO
Field
Bcontact2.MAILHNO
Description: Mail House Number (HNO - 10 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (INITSCREEN = {2, 3} AND CONDINTNOW = {1} AND (HNO OR STRNAME) =
{EMPTY} AND PRFLAG = {0}) OR
(MAILADDYSAME = {2} AND PRFLAG = {0})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail house number. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Número de la casa. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Monday, April 4, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 10
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILHNOSUF
Last Modified: Thursday, January 27, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILHNOSUF
Field
Bcontact2.MAILHNOSUF
Description: House number suffix (HNOSUF - 3 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILHNO = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail house number suffix. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Sufijo del número de la casa. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 3
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILSTRPRXD
Last Modified: Thursday, January 27, 2022
Page 144 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILSTRPRXD
Field
Bcontact2.MAILSTRPRXD
Description: Street name prefix dir. (STRPRXD - 2 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILHNOSUF = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail street name prefix direction. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Prefijo de dir. del nombre de la calle. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 145 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 2
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILSTRPRXT
Last Modified: Thursday, January 27, 2022
Page 146 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILSTRPRXT
Field
Bcontact2.MAILSTRPRXT
Description: Street name prefix type (STRPRXT - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRPRXD = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail street name prefix type. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Tipo de prefijo del nombre de la calle. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 147 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILSTRNAME
Last Modified: Thursday, January 27, 2022
Page 148 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILSTRNAME
Field
Bcontact2.MAILSTRNAME
Description: Street name (STRNAME - 28 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRPRXT = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail street name. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Nombre de la calle. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 149 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 28
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: ({EMPTY} AND MAILHNO = {EMPTY}), {NOT EMPTY} go to MAILSTRSFXT
{EMPTY} AND MAILHNO = {NOT EMPTY} go to MAILSTRNAME_SOFTCHK
Last Modified: Friday, December 3, 2021
Page 150 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILSTRNAME
Check
Bcontact2.HARD_MAILSTRNAME
Description: Enter a street name
Inherited Universe:
Universe: MAILHNO = {NOT EMPTY} AND STRNAME = {EMPTY}
Universe Description:
Text: You have entered that the location address contains a house number. A street name
must be entered.
Spanish Text: Usted ha contestado que la dirección del lugar contiene un número de la casa. Tiene
que entrar el nombre de la calle.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILSTRNAME
Last Modified: Thursday, January 27, 2022
Page 151 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILSTRSFXT
Field
Bcontact2.MAILSTRSFXT
Description: Street name suffix type (STRSFXT - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRNAME = {EMPTY} AND
MAILHNO = {EMPTY}) OR
(MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRNAME = {NOT EMPTY})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail street name suffix type. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Tipo de sufijo del nombre de la calle. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 152 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILSTRSFXD
Last Modified: Thursday, January 27, 2022
Page 153 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILSTRSFXD
Field
Bcontact2.MAILSTRSFXD
Description: Street name suffix dir. (STRSFXD - 2 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRSFXT = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail street name suffix direction. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Sufijo de dir. del nombre de la calle. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 154 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 2
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILSTRNAMX
Last Modified: Thursday, January 27, 2022
Page 155 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILSTRNAMX
Field
Bcontact2.MAILSTRNAMX
Description: Street name extension (STRNAMX - 3 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRSFXD = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail street name extension. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Extensión del nombre de la calle. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 156 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 3
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILUNITDES
Last Modified: Thursday, January 27, 2022
Page 157 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILUNITDES
Field
Bcontact2.MAILUNITDES
Description: Unit designation (UNITDES - 20 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILSTRNAMX = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail unit designation. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Designación de la unidad. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 158 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 20
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILRRDESC
Last Modified: Thursday, January 27, 2022
Page 159 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILRRDESC
Field
Bcontact2.MAILRRDESC
Description: Rural route description (RRDESC - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILUNITDES = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail rural route description. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Descripción de la ruta rural. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 160 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Special Instructions: RRID is a must fill if RRDESC has a value.
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILRRID
Last Modified: Thursday, January 27, 2022
Page 161 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILRRID
Field
Bcontact2.MAILRRID
Description: Rural route ID (RRID - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILRRDESC = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail rural route ID. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Número de identificación de la ruta rural. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 162 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Special Instructions: RRID is a must fill if RRDESC has a value.
Skip Instructions: {EMPTY} AND MAILRRDESC = {NOT EMPTY} go to HARDMAILRRID
({EMPTY} AND MAILRRDESC = {EMPTY}) OR {NOT EMPTY} go to MAILBOXDESC
Last Modified: Friday, December 3, 2021
Page 163 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILRRID
Check
Bcontact2.HARD_MAILRRID
Description: Enter RR ID
Inherited Universe:
Universe: MAILRRID = {EMPTY} AND MAILRRDESC = {NOT EMPTY}
Universe Description:
Text: A valid mail RR ID number is required.
Spanish Text: Se requiere un descriptor de ruta rural válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILRRID
Last Modified: Thursday, January 27, 2022
Page 164 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILBOXDESC
Field
Bcontact2.MAILBOXDESC
Description: Box or PO box (BOXDESC - 6 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILRRDESC = {EMPTY} AND
MAILRRID = {EMPTY}) OR
(MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILRRID = {NOT EMPTY})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail P.O. box description. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Buzón o PO BOX. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 165 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 6
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Special Instructions: BOXID is a must fill if BOXDESC has a value.
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILBOXID
Last Modified: Thursday, January 27, 2022
Page 166 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILBOXID
Field
Bcontact2.MAILBOXID
Description: Box ID (BOXID - 10 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILBOXDESC = {EMPTY, NOT
EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail P.O. box ID. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Número de identificación del buzón. Presione ENTER si el campo no es
aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Thursday, January 27, 2022
Page 167 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 10
Don't Know
Refuse
x Empty
On Input
On Output
Store Instructions: If mail address is updated in CM, then it should be passed and displayed in GQFQ.
The mailing address should never be overwritten with phys add inside the instrument.
I will put out that mail add might = phys add but any time mail add is updated whether
CM or instrument it should never be over written with phys add.
Either City Style Address or Rural Route Address values are put through to output,
not both.
City Variables: MAILHNO, MAILHNOSUF, MAILSTRPRXD, MAILSTRPRXT,
MAILSTRNAME, MAILSTRSFXT, MAILSTRSFXD, MAILSTRNAMX, MAILUNITDES
Rural Route Variables: MAILRRDESC, MAILRRID, MAILBOXDESC, MAILBOXID
Array:
Special Instructions: BOXID is a must fill if BOXDESC has a value.
Skip Instructions: {EMPTY} AND MAILBOXDESC = {NOT EMPTY} go to HARDMAILBOXID
({EMPTY} AND MAILBOXDESC = {EMPTY}) OR {NOT EMPTY} go to MAILPO
Last Modified: Friday, December 3, 2021
Page 168 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILBOXID
Check
Bcontact2.HARD_MAILBOXID
Description: Enter Box ID
Inherited Universe:
Universe: MAILBOXID = {EMPTY} AND MAILBOXDESC = {NOT EMPTY}
Universe Description:
Text: A valid mail box ID is required.
Spanish Text: Se requiere una identificación de buzón válida.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILBOXID
Last Modified: Friday, December 3, 2021
Page 169 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILPO
Field
Bcontact2.MAILPO
Description: City name (PO - 28 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILBOXDESC = {EMPTY} AND
MAILBOXID = {EMPTY}) OR
(MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILBOXDESC = {NOT EMPTY}
AND MAILBOXID = {NOT EMPTY}) OR
(PRFLAG = {1} AND MAILPRADDR2 = {EMPTY, NOT EMPTY})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail city name. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Nombre de la ciudad. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 170 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 28
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: MAILPO (City name) and MAILST (State) are must fills
Skip Instructions: {NOT EMPTY} go to MAILST
Last Modified: Friday, December 3, 2021
Page 171 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILST
Field
Bcontact2.MAILST
Description: State (ST - 2 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILPO = {NOT EMPTY}) OR
(PRFLAG = {1} AND MAILPO = {NOT EMPTY})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail state. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Estado. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 172 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 2
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: MAILPO (City name) and MAILST (State) are must fills
Skip Instructions: {VALID STATE ABBREVIATION} go to MAILZIP5
{XX} go to HARDMAILST1
{NON-VALID STATE ABBREVIATION} go to HARDMAILST2
Last Modified: Friday, December 3, 2021
Page 173 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILST1
Check
Bcontact2.HARD_MAILST1
Description: XX is not a valid state abbreviation
Inherited Universe:
Universe: MAILST = {XX}
Universe Description:
Text: XX is only allowed in training cases. Please change the state to a valid state.
Spanish Text: XX se permite solo en los casos de capacitación. Por favor cambie el estado a un
estado válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILST
Last Modified: Friday, December 3, 2021
Page 174 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILST2
Check
Bcontact2.HARD_MAILST2
Description: Enter a valid state abbreviation
Inherited Universe:
Universe: MAILST = {NON-VALID State Abbreviation}
Universe Description:
Text: Invalid state code entry
Spanish Text: Se ingresó un código de estado que no es válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILST
Last Modified: Friday, December 3, 2021
Page 175 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
HARD_MAILST3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
Bcontact2.HARD_MAILST3
Description: Cannot enter PR if case is not PRCS
Inherited Universe:
Universe: PRFLAG = {0} AND MAILST = {PR}
Universe Description:
Text: Invalid state code entry
Spanish Text: Se ingresó un código de estado que no es válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWST
Last Modified: Tuesday, December 7, 2021
Page 176 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILST4
Check
Bcontact2.HARD_MAILST4
Description: Must enter PR if case is PRCS
Inherited Universe:
Universe: PRFLAG = {1} AND MAILST <> {PR}
Universe Description:
Text: Invalid state code entry
Spanish Text: Se ingresó un código de estado que no es válido.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWST
Last Modified: Friday, December 3, 2021
Page 177 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILZIP5
Field
Bcontact2.MAILZIP5
Description: Zip5 (ZIP5 - 5 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILST = {VALID STATE
ABBREVIATION}) OR
(PRFLAG = {1} AND MAILST = {VALID STATE ABBREVIATION})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail Zip5. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Código Postal5. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 178 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 5
Don't Know
Refuse
Empty
On Input
On Output
Store Instructions: a valid zip code is 00501 to 99950 and is 5 digits
Array:
Skip Instructions: {EMPTY, VALID ZIP5} go to MAILZIP4
{LESS THAN 5 DIGITS} go to HARDMAILZIP5
Last Modified: Friday, December 3, 2021
Page 179 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
HARD_MAILZIP5
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
Bcontact2.HARD_MAILZIP5
Description: Enter a 5 digit zip code
Inherited Universe:
Universe: MAILZIP5 < {5 characters}
Universe Description:
Text: - Enter a complete five-digit ZIP code.
Spanish Text: - Entre un código postal completo de 5 dígitos.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILZIP5
Last Modified: Friday, December 3, 2021
Page 180 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILZIP4
Field
Bcontact2.MAILZIP4
Description: Zip4 (ZIP4 - 4 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (MAILADDYSAME = {2} AND PRFLAG = {0} AND MAILZIP5 = {EMPTY, VALID
ZIP5}) OR
(PRFLAG = {1} AND MAILZIP5 = {EMPTY, VALID ZIP5})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Mail Zip4. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Código Postal4. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 181 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 4
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, VALID ZIP4} go to NEWBLDGNAME
{LESS THAN 4 DIGITS} go to HARDNEWZIP4
Last Modified: Friday, December 3, 2021
Page 182 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAILZIP4
Check
Bcontact2.HARD_MAILZIP4
Description: MAILZIP4 must have 4 digits or field must be empty
Inherited Universe:
Universe: MAILZIP4 < {4 characters}
Universe Description:
Text: You must enter all four digits of the ZIP code extension.
If you don't know the four digit ZIP extension, go back and press the 'Delete' key to
leave the field blank.
Spanish Text: Usted tiene que ingresar todos los cuatro dígitos adicionales del código postal.
Si usted no sabe los cuatro dígitos adicionales del código postal, vuelva al campo y
presione la tecla 'Delete' para dejarlo en blanco.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAILZIP4
Last Modified: Friday, December 3, 2021
Page 183 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAILPRADDR1
Field
Bcontact2.MAILPRADDR1
Description: PR address line 1 (PRADDR1 - 60 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: (PRFLAG = {1} AND INITSCREEN = {4, 6} AND INTRO = {1}) OR
(PRFLAG = {1} AND INITSCREEN = {2, 3} AND CONDINTNOW = {1})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Puerto Rico mail address line 1. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Línea de dirección de PR 1. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 184 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 60
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILPRADDR2
Last Modified: Friday, December 3, 2021
Page 185 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWPRADDR2
Field
Bcontact2.NEWPRADDR2
Description: PR address line 2 (PRADDR2 - 60 characters)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PRFLAG = {1} AND MAILPRADDR1 = {EMPTY, NOT EMPTY}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
What is the mailing address for ^GQNAME_Fill?
Puerto Rico mail address line 2. Press ENTER if the field is not applicable.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Cuál es la dirección postal para ^GQNAME_Fill?
Mail Línea de dirección de PR 2. Presione ENTER si el campo no es aplicable.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 186 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: String
Length: 60
Don't Know
Refuse
x Empty
On Input
On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY} go to MAILPO
Last Modified: Friday, December 3, 2021
Page 187 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWBLDGNAME
Field
Bcontact2.NEWBLDGNAME
Description: GQ building name
Form Pane Label:
SAS Name: NEWBLDGNAME
Tag Name: NEWBLDGNAME
Inherited Universe:
Universe: MAILADDYSAME = {1} OR
MAILZIP4 = {EMPTY, VALID ZIP4}
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
Is there a unique name or building identification for this building?
The GQ building name is the actual name on the GQ structure or on a sign easily
seen in front of the GQ structure. Examples are: Building 202 or Building A-1.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN: ^GQADDLINE1_Fill
^GQADDLINE2_Fill
¿Hay un nombre único o identificador de la construcción de este edificio?
El nombre del edificio del GQ es el nombre real en el edificio del GQ o en un rótulo
que puede ser visto fácilmente a la entrada del edificio del GQ. Ejemplos son: Edificio
202 ó Edificio A-1.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 188 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to UPDATEBLDGNAME
Last Modified: Friday, December 3, 2021
Page 189 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
{2, D, R} go to UPDATECONTACT2INFO
Last Modified: Friday, December 3, 2021
Page 190 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UPDATEBLDGNAME
Field
Bcontact2.UPDATEBLDGNAME
Description: Update GQ building Name
Form Pane Label:
SAS Name: UPDATEBLDGNAME
Tag Name: UPDATEBLDGNAME
Inherited Universe:
Universe: NEWBLDGNAME = {1}
Universe Description:
Question Text: SPECIAL PLACE NAME:
^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
BUILDING NAME:
^BLDGNAME_Fill
Enter the building name.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL:
^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
NOMBRE DEL EDIFICIO:
^BLDGNAME_Fill
Entre el nombre del edificio.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 191 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: BLDGNAME_Fill
Instructions: Group Quarters building name.
Type: String
Length: 60
x Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to NEWBLDGID
Last Modified: Friday, December 3, 2021
Page 192 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWBLDGID
Field
Bcontact2.NEWBLDGID
Description: Update GQ building ID
Form Pane Label:
SAS Name: NEWBLDGID
Tag Name: NEWBLDGID
Inherited Universe:
Universe: UPDATEBLDGNAME = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Question Text: SPECIAL PLACE NAME:
^SPECPLACE_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
BUILDING NAME:
BUILDING ID:
^BLDGNAME_Fill
^BLDGID_Fill
Enter the building ID.
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL:
^SPECPLACE_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
DIRECCIÓN:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
NOMBRE DEL EDIFICIO:
CONSTRUCCIÓN DE ID:
^BLDGNAME_Fill
^BLDGID_Fill
Entre el ID de la construcción.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 193 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: BLDGNAME_Fill
Instructions: Group Quarters building name.
Fills: BLDGID_Fill
Instructions: Group Quarters Building Identification.
Type: String
Length: 12
x Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to UPDATECONTACT2INFO
Last Modified: Friday, December 3, 2021
Page 194 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UPDATECONT2INFO
Field
Bcontact2.UPDATECONT2INFO
Description: Update Contact #2 Info
Form Pane Label:
SAS Name: UPDATECONT2INFO
Tag Name: UPDATECONT2INFO
Inherited Universe:
Universe: NEWBLDGNAME = {2, D, R} OR
NEWBLDGID = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Question Text: CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Is there another person who might be able to help us if needed?
Update the Second GQ contact name.
Spanish Question Text: PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill, ^CP2EXT_Fill
¿Hay otra persona que pueda ayudarnos si es necesario?
Actualice el nombre del Segundo contacto de GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Friday, December 3, 2021
Page 195 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to NEWCP2NAME
{2} go to NEWGENPHON
Last Modified: Friday, December 3, 2021
Page 196 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP2NAME
Field
Bcontact2.NEWCP2NAME
Description: Contact #2 Name
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: UPDATECONT2INFO = {1}
Universe Description:
Question Text: CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Enter Contact #2 Name
Spanish Question Text: PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
Entre el Nombre del Contacto #2
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Last Modified: Friday, December 3, 2021
Page 197 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: String
Length: 42
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, R} go to NEWCP2TITL
Last Modified: Friday, December 3, 2021
Page 198 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP2TITL
Field
Bcontact2.NEWCP2TITL
Description: Contact #2 title
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: UPDATECONT2INFO = {1} AND NEWCP2NAME = {NOT EMPTY, R}
Universe Description:
Question Text: CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Enter Contact #2 Title
Spanish Question Text: PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
Entre el Título del Contacto #2
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Last Modified: Friday, December 3, 2021
Page 199 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: String
Length: 20
x Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to NEWCP2PHON
Last Modified: Friday, December 3, 2021
Page 200 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP2PHON
Field
Bcontact2.NEWCP2PHON
Description: Contact #2 Phone
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: UPDATECONT2INFO = {1} AND NEWCP2TITL = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Question Text: CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Enter Contact #2 Phone
Spanish Question Text: PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
Entre el Número de Teléfono del Contacto #2
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Last Modified: Friday, December 3, 2021
Page 201 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: Integer
Length: 10
Min:
Max:
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Special Instructions: If a non-valid phone number is entered, delete entry
Skip Instructions: {VALID PHONE NUMBER} go to NEWCP2EXT
{EMPTY, R} go to NEWGENPHON
NEWCP2PHON < {10 digits} go to HARDNEWCP2PHON
NEWCP2PHON area code {begins with 0 OR 1} go to HARDNEWCP2PHON2
NEWCP2PHON prefix {begins with 0 OR 1} go to HARDNEWCP2PHON3
Last Modified: Friday, December 3, 2021
Page 202 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWCP2PHON
Check
Bcontact2.HARD_NEWCP2PHON
Description: New phone less than 10 digits
Inherited Universe:
Universe: UPDATECONT2INFO = {1} AND NEWCP2PHON < {10 digits}
Universe Description:
Text: You must enter all ten digits of the contact person's phone number.
Spanish Text: Usted tiene que entrar todos los 10 dígitos del número de teléfono de la persona de
contacto.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWCP2PHON
Last Modified: Friday, December 3, 2021
Page 203 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWCP2PHON2
Check
Bcontact2.HARD_NEWCP2PHON2
Description: Area code begins with 0 or 1
Inherited Universe:
Universe: UPDATECONT2INFO = {1} AND (if 0 or 1 are the first digits of the area code)
Universe Description:
Text: The Area Code cannot begin with a '0' or '1'.
Spanish Text: El código de área no puede comenzar con un "0" ni con un "1"
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWCP2PHON
Last Modified: Friday, December 3, 2021
Page 204 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWCP2PHON3
Check
Bcontact2.HARD_NEWCP2PHON3
Description: Prefix begins with 0 or 1
Inherited Universe:
Universe: UPDATECONT2INFO = {1} AND (if 0 or 1 are the first digits of the prefix)
Universe Description:
Text: The Phone Number cannot begin with a '0' or '1'.
Spanish Text: El número de teléfono no puede comenzar con un "0" ni con un "1".
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWCP2PHON
Last Modified: Friday, December 3, 2021
Page 205 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWCP2EXT
Field
Bcontact2.NEWCP2EXT
Description: Contact #2 Extension
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: UPDATECONT2INFO = {1} AND NEWCP2PHON = {VALID PHONE NUMBER}
Universe Description:
Question Text: CONTACT PERSON 2: ^CP2NAME_Fill
CONTACT TITLE 2: ^CP2TITL_Fill
CONTACT PHONE 2: ^CP2PHON_Fill, ^CP2EXT_Fill
Enter Contact #2 Extension
Spanish Question Text: PERSONA DE CONTACTO 2: ^CP2NAME_Fill
TÍTULO DEL CONTACTO 2: ^CP2TITL_Fill
NÚMERO DE TELÉFONO DEL CONTACTO 2: ^CP2PHON_Fill , ^CP2EXT_Fill
Entre la Extensión del Contacto #2
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: CP2NAME_Fill
Instructions: Group Quarters. Name of contact person 2.
Last Modified: Friday, December 3, 2021
Page 206 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: CP2TITL_Fill
Instructions: Group Quarters. Title of contact person 2.
Fills: CP2PHON_Fill
Instructions: Group Quarters. Contact person 2 phone number.
Fills: CP2EXT_Fill
Instructions: Group Quarters. Contact person 2 phone number extension.
Type: Integer
Length: 5
Min:
Max:
x Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to NEWGENPHON
Last Modified: Tuesday, December 7, 2021
Page 207 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWGENPHON
Field
Bcontact2.NEWGENPHON
Description: General Phone Number
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: UPDATECONT2INFO = {2} OR
NEWCP2PHON = {EMPTY, R} OR
NEWCP2EXT = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Question Text: What is the general or main phone number for ^GQNAME_Fill?
GENERAL/MAIN PHONE #: ^GQPHONE_Fill , ^GQEXT_Fill
Update the main or general phone number of the group quarters/special place.
Spanish Question Text: ¿Cuál es número de teléfono general o principal para ^GQNAME_Fill?
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHONE_Fill , ^GQEXT_Fill
Actualice el número de teléfono principal o general del alojamiento de grupo/lugar
especial.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Tuesday, December 7, 2021
Page 208 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQPHONE_Fill
Instructions: Group Quarters phone number.
Fills: GQEXT_Fill
Instructions: Group Quarters phone number extension.
Type: Integer
Length: 10
Min:
Max:
Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Special Instructions: If a non-valid phone number is entered, replace with phone number from SCIF
Skip Instructions: {VALID PHONE NUMBER} go to NEWGENEXT
{EMPTY, R} go to STAY_NOW
NEWGENPHON < {10 digits} go to HARDNEWGENPHON
NEWGENPHON area code {begins with 0 OR 1} go to HARDNEWGENPHON2
NEWGENPHON prefix {begins with 0 OR 1} go to HARDNEWGENPHON3
Last Modified: Friday, December 3, 2021
Page 209 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWGENPHON
Check
Bcontact2.HARD_NEWGENPHON
Description: New phone less than 10 digits
Inherited Universe:
Universe: NEWGENPHON < {10 digits}
Universe Description:
Text: You must enter all ten digits of the contact person's phone number.
Spanish Text: Usted tiene que entrar todos los 10 dígitos del número de teléfono de la persona de
contacto.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWGENPHON
Last Modified: Friday, December 3, 2021
Page 210 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWGENPHON2
Check
Bcontact2.HARD_NEWGENPHON2
Description: Area code begins with 0 or 1
Inherited Universe:
Universe: if 0 or 1 are the first digits of the area code
Universe Description:
Text: The Area Code cannot begin with a '0' or '1'.
Spanish Text: El código de área no puede comenzar con un "0" ni con un "1"
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWGENPHON
Last Modified: Friday, December 3, 2021
Page 211 of 592
Survey: ACS GQ LI 2023
Section: Bcontact2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NEWGENPHON3
Check
Bcontact2.HARD_NEWGENPHON3
Description: Prefix begins with 0 or 1
Inherited Universe:
Universe: if 0 or 1 are the first digits of the prefix
Universe Description:
Text: The Phone Number cannot begin with a '0' or '1'.
Spanish Text: El número de teléfono no puede comenzar con un "0" ni con un "1".
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to NEWGENPHON
Last Modified: Friday, December 3, 2021
Page 212 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWGENEXT
Field
Bcontact2.NEWGENEXT
Description: General Phone Extension
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: NEWGENPHON = {VALID PHONE NUMBER}
Universe Description:
Question Text: What is the general or main phone number for ^GQNAME_Fill?
GENERAL/MAIN PHONE #: ^GQPHONE_Fill , ^GQEXT_Fill
Update the main or general phone extension of the group quarters/special place.
Spanish Question Text: ¿Cuál es número de teléfono general o principal para ^GQNAME_Fill?
NÚMERO DE TELÉFONO GENERAL/PRINCIPAL: ^GQPHONE_Fill , ^GQEXT_Fill
Actualice el extensión del teléfono principal o general del alojamiento de
grupo/lugar especial.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Friday, December 3, 2021
Page 213 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQPHONE_Fill
Instructions: Group Quarters phone number.
Fills: GQEXT_Fill
Instructions: Group Quarters phone number extension.
Type: Integer
Length: 5
Min:
Max:
Don't Know
x Refuse
x Empty
On Input
x On Output
Array:
Skip Instructions: {EMPTY, NOT EMPTY, R} go to STAY_NOW
Last Modified: Friday, March 11, 2022
Page 214 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
STAY_NOW
Field
Bcontact2.STAY_NOW
Description: Stay Now
Form Pane Label:
SAS Name: STAY_NOW
Tag Name: STAY_NOW
Inherited Universe:
Universe: CONDINTNOW = 1 AND
(NEWGENPHON = {EMPTY, R} OR
NEWGENEXT = {EMPTY, NOT EMPTY, R})
Universe Description:
Question Text: SPECIAL PLACE NAME: ^SPNAME_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
Are people currently living or staying at ^GQNAME_Fill ?
Spanish Question Text: NOMBRE DEL LUGAR ESPECIAL: ^SPNAME_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
¿Hay personas que están viviendo o quedándose actualmente en
^GQNAME_Fill ?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPNAME_Fill
Instructions: Special place name of the Group Quarters.
Last Modified: Friday, March 11, 2022
Page 215 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Bcontact2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} then set OUTCOME = '843'
{2} AND INITSCREEN = {2, 6} THEN SET TEL_PV = TELE {2}
{2} AND INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
Skip Instructions: {1, 2, R} go to GQMAIN1
Last Modified: Monday, May 20, 2019
Page 216 of 592
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
BF10_Exit BExit
Block
BF10_Exit BExit
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Tuesday, December 7, 2021
Page 217 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
INTSTAT
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BF10_Exit BExit.INTSTAT
Description: Interview Status
Form Pane Label:
SAS Name: INTSTAT
Tag Name: INTSTAT
Inherited Universe:
Universe: INTRO = {D, R} OR
CREATE_ALLBEDS = {R} OR
LISTINGMETHOD_TELE = {R} OR
eLIST_NoRoster = {R} OR
F10
Universe Description:
Question Text:
Is the respondent able to complete the interview?
If this is a Federal Prison or a Federal Detention Center select option 3 for Other
Noninterview. (This option does not apply to privately operated correctional facilities
that house mostly federal prisoners.)
If you are at a privately operated correctional facility that contains federal, state, or
local prisoners, do not exit the interview. Continue with the GQFQ interview, sampling
and interviewing the persons selected for sample. Select the F8 to return to the
interview. Instructions are directly below on how these GQs will be classified.
If you are at a privately operated correctional facility that contains mostly federal
prisoners, you will continue with the interview. This GQ will be coded out as a 102,
Federal Prison.
If you are at a privately operated correctional facility that contains mostly state
prisoners, you will continue with the interview. This GQ will be coded out as a 103,
State Prison.
If you are at a privately operated correctional facility that contains mostly local
prisoners, you will continue with the interview. This GQ will be coded out as a 104,
Local Jail. (Local jails include tribal as well.)
Spanish Question Text:
¿Puede el respondedor completar la entrevista?
Si ésta es una prisión federal o un centro de detención federal, seleccione la opción
3 para Otra No-Entrevista. (Esta opción no aplica a instalaciones de corrección
operadas privadamente que principalmente albergan a prisioneros federales.)
Si usted está en una instalación de corrección operada privadamente que alberga a
prisioneros federales, estatales o locales, no salga de la entrevista. Continúe con la
entrevista del GQFQ, seleccionando la muestra y entrevistando a las personas
seleccionadas para la muestra. Las instrucciones de cómo codificarlos para anularlos
aparece directamente debajo.
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Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Si usted está en una instalación de corrección administrada privadamente que,
por la mayor parte, alberga prisioneros federales, usted continuará con esta
entrevista. Este GQ se codificará como 102, Prisión Federal.
Si usted se encuentra en una instalación de corrección operada privadamente
que tiene en su mayoría prisioneros del estado, usted continuará la entrevista. A este
GQ se le asignará el código de 103, Prisión de Puerto Rico.
Si usted se encuentra en una instalación de corrección operada privadamente
que tiene en su mayoría prisioneros locales, usted continuará con la entrevista. A
este GQ se le asignará el código 104, Cárcel Local.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TINTSTAT
Value:
Mnemonic:
Description:
1
Inconvenient Time. Try again later.
2
Refusal
3
Other noninterview.
Spanish
Value:
Mnemonic:
Description:
1
Hora no es conveniente. Trate de nuevo después.
2
Rechazo
3
Otra no entrevista
Don't Know
Refuse
Empty
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
On Input
x On Output
Array:
Special Instructions: {1} OUTCOME = '802'
BoP Special Instruction
Fill Instructions: For BoP: Special BoP Fill [do not include the above instructions in the
BoP instrument.]
Use this instead:
Is the respondent able to complete the interview?
(Spanish)
Fill Instructions: For BoP: Special BoP Fill [do not include the above instructions in the
BoP instrument.] Use this instead: ? ¿Puede el respondedor completar la
entrevista?
Skip Instructions: {1} go to PCALLBACK
{2} go to REFREASON
{3} go to REASONINT
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PCALLBACK
Field
BF10_Exit BExit.PCALLBACK
Description: Best callback day/time
Form Pane Label:
SAS Name: PCALLBACK
Tag Name: PCALLBACK
Inherited Universe:
Universe: INTSTAT = {1}
Universe Description:
Question Text: What day and time would be best to contact you again?
Spanish Question Text: ¿Cuál sería el mejor día y hora para comunicarme con usted de nuevo?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Integer
Length: 25
Min:
Max:
Don't Know
Refuse
Empty
On Input
x On Output
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Store Instructions: Date/Time:
Fill Instructions: Allow 25 alpha/numeric characters]
Array:
Special Instructions: 1. Store in CALLBACK variable and pass out to CM
2. Variable length = 25 characters
Skip Instructions: {NOT EMPTY} go to THANKYOU
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
REFREASON
Field
BF10_Exit BExit.REFREASON
Description: Refusal Reason
Form Pane Label:
SAS Name: REFREASON
Tag Name: REFREASON
Inherited Universe:
Universe: INTSTAT = {2}
Universe Description:
Question Text:
Spanish Question Text:
Mark all that apply.
Marquen todas las que aplican.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TREFREASON
Value:
Mnemonic:
Description:
1
Respondent busy
2
Interview too long
3
Survey is a waste of taxpayers money
4
Respondent questions legitimacy of survey
5
Confidentiality reasons
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
6
Respondent says that he/she cannot comply because of legal restrictions
7
Other - Specify in Notes
Spanish
Value:
Mnemonic:
Description:
1
Respondedor está ocupado(a)
2
Entrevista dura demasiado tiempo
3
Encuesta es un despilfarro del dinero de los pagadores de impuestos
4
Respondedor duda la legitimidad de la encuesta
5
Razones de confidencialidad
6
Respondedor dice que no puede participar porque tiene restricciones
legales
7
Otra – Especifique en las Notas
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {6} set OUTCOME = '808', STOREOUT = '811', GeocodeReqd = {1}
{1-5, 7} set OUTCOME = '808', STOREOUT = '818', GeocodeReqd = {1}
Skip Instructions: {1-5, 7} go to THANKYOU
{6} go to REASON811
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
REASON811
Field
BF10_Exit BExit.REASON811
Description: Reason for 811 Outcome
Form Pane Label:
SAS Name: REASON811
Tag Name: REASON811
Inherited Universe:
Universe: INTSTAT = {2} AND REFREASON = {6}
Universe Description:
Question Text:
Spanish Question Text:
What is the legal restriction cited by the respondent? Get the name of the law, if
possible, and whether it is a federal or state law.
¿Cuál es la restricción legal mencionada por el respondedor? Obtenga el nombre
de la ley, si es posible, y si es una ley federal o estatal.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: String
Length: 60
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Fill in the blank - 60 characters.
Last Modified: Tuesday, December 28, 2021
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Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Array:
Skip Instructions: {NOT EMPTY} go to THANKYOU
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
REASONINT
Field
BF10_Exit BExit.REASONINT
Description: Reason for Noninterview
Form Pane Label:
SAS Name: REASONINT
Tag Name: REASONINT
Inherited Universe:
Universe: INTSTAT = {3}
Universe Description:
Question Text:
Spanish Question Text:
Indicate the reason for the non-interview.
Indique la razón por la cual no se realiza la entrevista.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 2
Answer List: TREASONINT
Value:
Mnemonic:
Description:
1
Unable to locate
2
Other Type A - Specify in Notes
3
GQ no longer exists
4
GQ is actually a housing unit (in addition to standard housing units, this
includes assisted / independent living units, RV parks, campgrounds, marinas,
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
or racetracks)
5
GQ is a domestic violence shelter or sensitive place
6
Other Type C - Specify in Notes
7
Natural disaster - Type B
8
Type C - no residents during survey period
9
Federal Prison
10
Federal Detention Center
Spanish
Value:
Mnemonic:
Description:
1
No se puede localizar
2
Otro de Tipo A – Especifique en las Notas
3
GQ ya no existe
4
GQ en realidad es una unidad de vivienda (además de las unidades de
viviendas normales, éste incluye centros residenciales para personas
que necesitan ayuda, parques para vehículos recreativos, áreas de
acampar, marinas o pistas de carrera)
5
GQ es un refugio para víctimas de violencia doméstica o lugar sensitivo
6
Otro de Tipo C - Especifique en las Notas
7
Desastre Natural – Tipo B
8
Tipo C – No hay residentes durante el período de la encuesta
9
Prisión Federal
10
Centro de Detención Federal
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values: Must fill. DK, R not acceptable.
Array:
Special Instructions: {1} set OUTCOME = '814'
{2} set OUTCOME = '808', STOREOUT = '819', GeocodeReqd = {1}
{3} set OUTCOME = '840'
{4} set GQTYPE/GQTYPE1 = '999', set OUTCOME = '841'
{5} set GQTYPE/GQTYPE1 = '703', set OUTCOME = '842'
{6} set OUTCOME = '844'
{7} set OUTCOME = '833'
{8} set OUTCOME = '843'
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Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
{9} set GQTYPE/GQTYPE1 = '102', OUTCOME = '844'
{10} set GQTYPE/GQTYPE1 = '101', set OUTCOME = '844'
GQTYPECODE1 = {999} clear out GQTypeDesc1
GQTYPECODE2 = {999} clear out GQTypeDesc2
GQTYPECODE3 = {999} clear out GQTypeDesc3
INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
INITSCREEN = {2, 6} THEN SET TEL_PV = TELE {2}
Skip Instructions: {1, 3-5, 7} EXIT INSTRUMENT AND go to NOTES
{2} go to REASON819
{6} go to REASON844
{8 AND F10 tab} go to THANK_YOU
{8 AND Instrument path Exit} EXIT INSTRUMENT
{9} go to REASONINT_SOFTCHK
{10} go to REASONINT_SOFTCHK2
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
REASONINT_SOFTCHK
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
BF10_Exit BExit.REASONINT_SOFTCHK
Description: Facility is a Federal Prison
Inherited Universe:
Universe: INTSTAT = {3} AND REASONINT = {9}
Universe Description:
Text:
This facility is out of scope at this time. You have reached a Federal Prison outside
of the data collection period for Federal Prisons. You will be exited out of the
interview and your case will be closed. Please read the script below to the contact
person.
I'm sorry, we have contacted you at a time outside of the data collection period
for Federal Prisons. This ends the interview. Those Federal correctional
facilities, selected for sample for the ACS, will be visited beginning in
September, in which your facility may be one of those. You will be notified
prior to our return. Thank you for your time.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text:
Esta instalación está fuera de la muestra en este momento. Usted se ha
comunicado con una prisión federal durante el período de recopilación cuando no se
incluyen las prisiones federales. Usted será obligado a salir de la entrevista y su
caso se cerrará. Por favor, lea el texto a continuación a la persona de contacto:
Lo siento, nos hemos comunicado con usted en un momento fuera del período
de recopilación de datos para prisiones federales. Esto termina la entrevista.
Las instalaciones federales de corrección seleccionadas para la muestra de la
ACS se visitarán comenzando en septiembre. Es posible que su instalación sea
una de ellas. Se le notificará antes de nuestro regreso. Gracias por su tiempo.
Last Modified: Tuesday, December 28, 2021
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Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check Instructions: Set GQTYPE CODE = '102'
Type: Soft
Skip Instructions: {S} exits the instrument.
{C, G} go to REASONINT
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
REASONINT_SOFTCHK2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check
BF10_Exit BExit.REASONINT_SOFTCHK2
Description: Facility is a Federal Detention Center
Inherited Universe:
Universe: INTSTAT = {3} AND REASONINT = {10}
Universe Description:
Text:
This facility is out of scope at this time. You have reached a Federal Detention
Center outside of the data collection period for Federal Detention Centers. You will be
exited out of the interview and your case will be closed. Please read the script below
to the contact person.
I'm sorry, we have contacted you at a time outside of the data collection period
for Federal Detention Centers. This ends the interview. Those Federal
correctional facilities, selected for sample for the ACS, will be visited beginning
in September, in which your facility may be one of those. You will be notified
prior to our return. Thank you for your time.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text:
Esta instalación está fuera de la muestra en este momento. Usted se ha
comunicado con un centro de detención federal durante el período de recopilación
cuando no se incluyen los centros de detención federal. Usted será obligado a salir
de la entrevista y su caso se cerrará. Por favor, lea el texto a continuación a la
persona de contacto:
Lo siento, nos hemos comunicado con usted en un momento fuera del período
de recopilación de datos para centros de detención federales. Esto termina
nuestra entrevista. Las instalaciones federales de corrección seleccionadas
para la muestra de la ACS se visitarán comenzando en septiembre. Es posible
que su instalación sea una de ellas. Se le notificará antes de nuestro regreso.
Last Modified: Tuesday, December 28, 2021
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Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Gracias por su tiempo.
Check Instructions: SET GQTYPE = '101'
Type: Soft
Skip Instructions: {S} exits instrument
{C, G} go to REASONINT
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
REASON819
Field
BF10_Exit BExit.REASON819
Description: Reason for 819 Outcome
Form Pane Label:
SAS Name: REASON819
Tag Name: REASON819
Inherited Universe:
Universe: INTSTAT = {3} AND REASONINT = {2}
Universe Description:
Question Text:
Spanish Question Text:
Specify the reason for this Other Type A outcome.
Especifique la razón por este resultado Otro de Tipo A.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: String
Length: 60
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Fill in the blank - allow for 60 characters.
Array:
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Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Skip Instructions: {NOT EMPTY} go to THANKYOU
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
REASON844
Field
BF10_Exit BExit.REASON844
Description: Reason for 844 Outcome
Form Pane Label:
SAS Name: REASON844
Tag Name: REASON844
Inherited Universe:
Universe: INTSTAT = {3} AND REASONINT = {6}
Universe Description:
Question Text:
Spanish Question Text:
Specify the reason for this Other Type C outcome.
Especifique la razón por este resultado Otro de Tipo C.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: String
Length: 60
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Fill in the blank - allow for 60 characters.
Array:
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Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Special Instructions: INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
INITSCREEN = {2, 6} THEN SET TEL_PV = TELE {2}
Skip Instructions: {NOT EMPTY} EXIT INSTRUMENT
Last Modified: Tuesday, December 7, 2021
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Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
THANK_YOU
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BF10_Exit BExit.THANK_YOU
Description: Thank you
Form Pane Label:
SAS Name: THANK_YOU
Tag Name: THANK_YOU
Inherited Universe:
Universe: SECPROCS = {1, 2} OR
PCALLBACK = {NOT EMPTY} OR
REFREASON = {1-5, 7} OR
REASON811 = {NOT EMPTY} OR
REASON819 = {NOT EMPTY} OR
TCALLBACK = {NOT EMPTY}
Universe Description:
Question Text: Thank you for helping the Census Bureau with the ^American_PuertoRico_Fill
Spanish Question Text: Gracias por ayudar a la Oficina del Censo con la ^American_PuertoRico_Fill.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Do not accept DK, R or empty
Array:
Special Instructions: PCALLBACK <> {blank} set outcome code = '805'
TCALLBACK <> {blank} set outcome code = '805'
APPOINTMENT <> {blank} set outcome code = '806'
STOREOUT = {801, 811, 818, 819}
INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
INITSCREEN = {2, 6} THEN SET TEL_PV = TELE {2}
Skip Instructions: {1} EXIT INSTRUMENT
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Section: BF10_Exit BExit
Attachment O - GQFQ Questionnaire
THANKYOU2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BF10_Exit BExit.THANKYOU2
Description: Thank you
Form Pane Label:
SAS Name: THANKYOU2
Tag Name: THANKYOU2
Inherited Universe:
Universe: GQCONTACTFINISH = {1} AND
(LISTINGMETHOD_TELE = {2} OR eList_NoRoster = {1})
OR
(CONTACT2.STAY_NOW = {2, RF} AND (RI_BCT <> EMPTY OR RI_BCT = {DK,
RF})
Universe Description:
Question Text: Thank you for helping the Census Bureau with the ^American_PuertoRico_Fill
Spanish Question Text: Gracias por ayudar a la Oficina del Censo con la ^American_PuertoRico_Fill.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Last Modified: Thursday, March 10, 2022
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BF10_Exit BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
Description:
1
Enter 1 to continue
Spanish
Value:
Mnemonic:
Description:
1
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Do not accept DK, R or empty
Array:
Special Instructions: INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
INITSCREEN = {2, 6} THEN SET TEL_PV = TELE {2}
Skip Instructions: {1} EXIT INSTRUMENT
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Survey: ACS GQ LI 2023
Section: BExit
BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
BExit
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
TCALLBACK
Field
BExit.TCALLBACK
Description: Best time to callback
Form Pane Label:
SAS Name: TCALLBACK
Tag Name: TCALLBACK
Inherited Universe:
Universe: (SPEAKNOW = {2, R} AND INITSCREEN = {2, 3}) OR
(BoP_flag = {1} AND SRCHKNWLRESP = {2})
Universe Description:
Question Text: When is a good time for me to call back?
Spanish Question Text: ¿Cuándo es el mejor momento para llamar de nuevo?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: String
Length: 25
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Callback date/time:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fill Instructions: Allow for 25 characters to be entered
Valid Values: Do not allow DK or R
Array:
Special Instructions: 1. Set OUTCOME = '805'
2. Store this in CALLBACK variable
3. Pass out to CM
Skip Instructions: {NOT EMPTY} go to THANKYOU
Last Modified: Monday, December 6, 2021
Page 244 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BExit
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CASENOTESPATH
Field
BExit.CASENOTESPATH
Description: New variable added to the end of the instrument. This has to be added for release of
Windows 10 to the FR laptops.
It will be be released May 2020 production.
Form Pane Label: CASENOTESPATH
SAS Name:
Tag Name:
Inherited Universe:
Universe: INITSCREEN = {1-5}
Universe Description:
Question Text:
Spanish Question Text:
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Classification
Length: 100
Don't Know
Refuse
x Empty
x On Input
x On Output
Last Modified: Monday, December 6, 2021
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Survey: ACS GQ LI 2023
Section: BExit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Array:
Last Modified: Monday, May 20, 2019
Page 246 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
BGQtype1
Block
BGQtype1
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GQMAIN1
Field
BGQtype1.GQMAIN1
Description: First GQ Category
Form Pane Label:
SAS Name: GQMAIN1
Tag Name: GQMAIN1
Inherited Universe:
Universe: STAY_NOW = {1, 2, R}
Universe Description:
Help Screen: F_GQMAIN
Question Text:
SPECIAL PLACE NAME: ^SPNAME_Fill
GROUP QUARTERS NAME: ^GQNAME_Fill
^GQMAIN1_Fill
Spanish Question Text:
NOMBRE DEL LUGAR ESPECIAL: ^SPNAME_Fill
NOMBRE DEL ALOJAMIENTO DE GRUPO: ^GQNAME_Fill
^GQMAIN1_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPNAME_Fill
Instructions: Special place name of the Group Quarters.
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQMAIN1_Fill
Instructions: IF INITSCREEN = {3, 4} then display
This is a list of places where people live, could live, or stay and/or receive
services. Using this list, please select ONLY ONE category that BEST describes
^GQNAME_Fill.
Give the contact person time to read all the categories on the Information Card and
provide you with a selection. If they choose more than one category, ask for the one
that has the most residents and note that we'll ask about the other categories later.
IF INITSCREEN = {2, 6} then display
I'm going to read a list of places where people live, could live, or stay and/or
receive services. Please select ONLY ONE category that BEST describes
^GQNAME_Fill.
Read the categories below. Give the contact person time to hear all the
categories and provide you with a selection. If they choose more than one
category, ask for the one that has the most residents and note that we'll ask
about the other categories later.
Spanish instructions: IF INITSCREEN = {3, 4} then display
Ésta es una lista de lugares donde personas viven, podrían vivir o quedarse y/o
reciben servicios. Cuando usted use esta lista, por favor, seleccione SÓLO
UNA categoría que MEJOR describa a ^GQNAME_Fill.
Dele tiempo a la persona de contacto para que lea todas las categorias en la tarjeta
de información y le indique su selección. Si selecciona más de una categoría, pídale
la que tenga más residentes y anote que preguntaremos sobre las otras categorías
después.
IF INITSCREEN = {2, 6} then display
Voy a leer una lista de lugares donde las personas viven, podrían vivir o
quedarse y recibir servicios. Seleccione SÓLO UNA categoría que MEJOR
describa a ^GQNAME_Fill.
Lea las categorías que aparecen a continuación. Dele tiempo a la persona de
contacto para que oiga todas las categorías y le indique su selección. Si
selecciona más de una categoría, pídale la que tenga más residentes y dígale
que preguntaremos sobre las otras categorías después.
Fills: GQNAME_Fill
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TGQMAIN1
Value:
Mnemonic:
Description:
1
Educational Facility
2
Correctional Facility
3
Group Home
4
Health Care or Treatment Facility
5
Military
6
Other Group Living Facilities
7
None of the Above
Spanish
Value:
Mnemonic:
Description:
1
Institución Educativa
2
Institución de Corrección
3
Hogar de Grupo
4
Facilidad para el Cuidado de la Salud o de Tratamiento
5
Militar
6
Otros Centros Residenciales para Grupos
7
Ninguno de los Anteriores
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: IF INITSCREEN = {3, 4} THEN display Flashcard
IF INITSCREEN = {2, 6} THEN do not display Flashcard
Skip Instructions: {1} go to EDU_DD
{2} go to CORRECTIONAL_DD
{3} go to GROUPHOME_DD
{4} go to HEALTH_DD
Last Modified: Monday, December 6, 2021
Page 250 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
{5} go to MILITARY_DD
{6} go to OGLF_DD
{7} go to OUTOFSCOPE_DD
Last Modified: Monday, December 6, 2021
Page 251 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
EDU_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype1.EDU_DD
Description: Education drill-down
Form Pane Label:
SAS Name: EDU_DD
Tag Name: EDU_DD
Inherited Universe:
Universe: GQMAIN = {1}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TEDU_DD
Value:
Mnemonic:
Description:
1
College/University Student Housing
2
Residential School for People with Disabilities
Spanish
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Vivienda Estudiantil de Colegios/Universidades
2
Escuela Residencial para Personas con Impedimentos
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '501' AND set GQTypeDesc1 = 'COLLEGE/UNIVERSITY
STUDENT HOUSING'
{2} set GQTypeCode1 = '405' AND set GQTypeDesc1 = 'RESIDENTIAL SCHOOLS
FOR PEOPLE WITH DISABILITIES'
Skip Instructions: {1} go to COLLEGE
{2} go to MAXCAP1
Last Modified: Monday, December 6, 2021
Page 253 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
College
Field
BGQtype1.College
Description: College/University Student Housing
Form Pane Label:
SAS Name: College
Tag Name: College
Inherited Universe:
Universe: EDU_DD = {1} AND GQMAIN1 = {1}
Universe Description:
Question Text: Is ^GQNAME_Fill used primarily to provide housing for college students?
Spanish Question Text: ¿Es ^GQNAME_Fill usada primordialmente para proveer vivienda para
estudiantes universitarios?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
1
Mnemonic:
Description:
Yes
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set GQTypeCode1 = '999' AND set GQTypeDesc1 = 'empty' AND set OUTCOME
= '841'
Skip Instructions: {1} go to MAXCAP1
{2} go to OUTOFSCOPE_TY
Last Modified: Monday, December 6, 2021
Page 255 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
CORRECTIONAL_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype1.CORRECTIONAL_DD
Description: Correctional drill-down
Form Pane Label:
SAS Name: CORRECTIONAL_DD
Tag Name: CORRECTIONAL_DD
Inherited Universe:
Universe: GQMAIN1 = {2}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TCORRECTIONAL_DD
Value:
Mnemonic:
Description:
1
Adult Correctional Residential Facility
2
Juvenile Correctional Facility
Spanish
Last Modified: Monday, December 6, 2021
Page 256 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Institución Residencial de Corrección para Adultos
2
Institución de Corrección para Jóvenes
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set GQTypeCode1 = '203' AND set GQTypeDesc1 = 'CORRECTIONAL
FACILITIES INTENDED FOR JUVENILES'
Skip Instructions: {1} go to CF_DESC
{2} go to MAXCAP1
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CF_DESC
Field
BGQtype1.CF_DESC
Description: Correctional Facility Type
Form Pane Label:
SAS Name: CF_DESC
Tag Name: CF_DESC
Inherited Universe:
Universe: CORRECTIONAL_DD = {1} AND GQMAIN1 = {2}
Universe Description:
Help Screen: F_GQMAIN
Question Text: Fill #1 INITSCREEN = {3, 4}
Which of the following categories describes ^GQNAME_Fill?
If more than one flashcard category applies, mark the one with the most prisoners.
If this is a Federal Prison or a Federal Detention Center, select either Option 5 or
Option 6 respectively to exit out of the interview.
If you are at a privately operated facility that contains federal, state or local
prisoners, do not exit the interview. Continue with the GQFQ interview, sampling and
interviewing the persons selected for sample. Instructions are directly below on how
to code privately operated facilities out.
If you are at a privately operated correctional facility that contains mostly state
prisoners, you will select Option 1 and continue with the interview. This case will have
the GQ Type code of 103, State Prison.
If you are at a privately operated correctional facility that contains mostly
local/county prisoners, you will select Option 2 and continue with the interview. This
case will have the GQ Type code of 104, Local Jail. (Local jails include tribal as well)
If you are at a privately operated correctional facility that contains mostly federal
prisoners, you will select Option 4 and continue with the interview. This case will have
the GQ Type code of 102.
Fill #2 INITSCREEN = {2, 6}
Which of the following categories describes ^GQNAME_Fill?
Read the categories below. Give the contact person time to hear all the categories
and provide you with a selection.
If more than one category applies, mark the one with the most prisoners.
If this is a Federal Prison or a Federal Detention Center, select either Option 5 or
Option 6 respectively to exit out of the interview.
If you are at a privately operated facility that contains federal, state or local prisoners,
do not exit the interview. Continue with the GQFQ interview, sampling and
interviewing the persons selected for sample. Instructions are directly below on how
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
to code privately operated facilities out.
If you are at a privately operated correctional facility that contains mostly state
prisoners, you will select Option 1 and continue with the interview. This case will have
the GQ Type code of 103, State Prison.
If you are at a privately operated correctional facility that contains mostly
local/county prisoners, you will select Option 2 and continue with the interview. This
case will have the GQ Type code of 104, Local Jail. (Local jails include tribal as well)
If you are at a privately operated correctional facility that contains mostly federal
prisoners, you will select Option 4 and continue with the interview. This case will have
the GQ Type code of 102.
Spanish Question Text: Fill #1 INITSCREEN = {3, 4}
¿Cuál de las siguientes categorías describe ^GQNAME_Fill?
Si aplica más de una categoría en la tarjeta de información, marque la que tenga
más presos.
Si corresponde más de una categoría, marque la que tenga más presos.
Si esta es una Prisión Federal o un Centro Federal de Detención, seleccione la
Opción 5 o la Opción 6 respectivamente para salir de la entrevista.
Si usted se encuentra en una instalación de gestión privada que alberga presos
federales, estatales o locales, no salga de la entrevista. Continúe con la entrevista
del GQFQ, realizando el muestreo y entrevistando a las personas seleccionadas
para la muestra. Las instrucciones para codificar las instalaciones de gestión privada
se encuentran a continuación.
Si usted se encuentra en una instalación correccional de gestión privada que
alberga mayormente presos estatales, seleccionará la Opción 1 y continuará con la
entrevista. Este caso tendrá el código de tipo de GQ 103, Prisión Estatal.
Si usted se encuentra en una instalación correccional de gestión privada que
alberga mayormente presos locales/del condado, seleccionará la Opción 2 y
continuará con la entrevista. Este caso tendrá el código de tipo de GQ 104, Cárcel
Local. (Las cárceles locales también incluyen a las tribales)
Si usted se encuentra en una instalación correccional de gestión privada que
alberga mayormente presos federales, seleccionará la Opción 4 y continuará con la
entrevista. Este caso tendrá el código de tipo de GQ 102.
Fill #2 INITSCREEN = {2, 6}
¿Cuál de las siguientes categorías describe ^GQNAME_Fill?
Lea las categorías que aparecen a continuación. Dele tiempo a la persona de
contacto para que oiga todas las categorías y le indique su selección.
Si corresponde más de una categoría, marque la que tenga más presos.
Si esta es una Prisión Federal o un Centro Federal de Detención, seleccione la
Opción 5 o la Opción 6 respectivamente para salir de la entrevista.
Si usted se encuentra en una instalación de gestión privada que alberga presos
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
federales, estatales o locales, no salga de la entrevista. Continúe con la entrevista
del GQFQ, realizando el muestreo y entrevistando a las personas seleccionadas
para la muestra. Las instrucciones para codificar las instalaciones de gestión privada
se encuentran a continuación.
Si usted se encuentra en una instalación correccional de gestión privada que
alberga mayormente presos estatales, seleccionará la Opción 1 y continuará con la
entrevista. Este caso tendrá el código de tipo de GQ 103, Prisión Estatal.
Si usted se encuentra en una instalación correccional de gestión privada que
alberga mayormente presos locales/del condado, seleccionará la Opción 2 y
continuará con la entrevista. Este caso tendrá el código de tipo de GQ 104, Cárcel
Local. (Las cárceles locales también incluyen a las tribales)
Si usted se encuentra en una instalación correccional de gestión privada que
alberga mayormente presos federales, seleccionará la Opción 4 y continuará con la
entrevista. Este caso tendrá el código de tipo de GQ 102.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TCF_DESC
Value:
Mnemonic:
Description:
1
State Prison/Privately Operated Facility housing mainly state prisoners
2
Local or County Jail/Privately Operated Facility housing mainly local or county
prisoners
3
Adult Residential Correctional Facility
4
Privately Operated Facility housing mainly federal prisoners
5
Federal Prison
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
6
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Federal Detention Center
Spanish
Value:
Mnemonic:
1
Description:
Prisión estatal/Instalación de gestión privada donde están recluidos
principalmente prisioneros del estado
2
Cárcel local o del condado(if PR municipio)/Instalación de gestión
privada donde están recluidos principalmente prisioneros del
condado/municipio
3
Institución Residencial de Corrección para Adultos
4
Instalaciones de Corrección Operadas Privadamente (Federal)
5
Prisión Federal
6
Centro de Detención Federal
PR Spanish
Value:
Mnemonic:
Description:
2
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '103' AND set GQTypeDesc1 = 'STATE PRISON'
{2} set GQTypeCode1 = '104' AND set GQTypeDesc1 = 'LOCAL JAIL & OTHER
MUNICIPAL CONFINEMENT FACILITIES'
{3} set GQTypeCode1 = '105' AND set GQTypeDesc1 = 'CORRECTIONAL
RESIDENTIAL FACILITY'
{4} set GQTypeCode1 = '102' AND set GQTypeDesc1 = 'FEDERAL PRISON'
{5} set GQTypeCode1 = '102' AND set GQTypeDesc1 = 'FEDERAL PRISON' AND
set OUTCOME = '844'
{6} set GQTypeCode1 = '101' AND set GQTypeDesc1 = 'FEDERAL DETENTION
CENTER' AND set OUTCOME = '844'
Skip Instructions: {1 - 4} go to MAXCAP1
{5} go to CF_DESC_SOFTCHK
{6} go to CF_DESC_SOFTCHK2
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CF_DESC
Check
BGQtype1.HARD_CF_DESC
Description: Facility is Federal Prison
Inherited Universe:
Universe: GQMAIN1 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {5}
Universe Description:
Text:
This facility is out of scope at this time. You have reached a Federal Prison outside
of the data collection period for Federal Prisons. Please press F10 or click on the F10
Exit tab and follow the instructions to exit out of the interview and your case will be
closed. Please read the script below to the contact person.
I'm sorry, we have contacted you at a time outside of the data collection period
for Federal Prisons. This ends the interview. Those Federal correctional
facilities, selected for sample for the ACS, will be visited beginning in
September, in which your facility may be one of those. You will be notified
prior to our return. Thank you for your time.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text:
Esta instalación no está incluida en la muestra en este momento. Usted ha se
puesto en contacto con una prisión federal fuera del periodo de recopilación de datos
de prisiones federales. Por favor, presione F10 o haga clic en la pestaña F10 Exit
(Salir) y siga las instrucciones para salir de la entrevista y su caso se cerrará. Por
favor, léale el guion a continuación a la persona de contacto.
Lo siento, nos hemos comunicado con usted en un momento fuera del período
de recopilación de datos para prisiones federales. Esto termina la entrevista.
Las instalaciones federales de corrección seleccionadas para la muestra de la
ACS se visitarán comenzando en septiembre. Es posible que su instalación sea
una de ellas. Se le notificará antes de nuestro regreso. Gracias por su tiempo.
Last Modified: Monday, December 6, 2021
Page 262 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to CF_DESC
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CF_DESC2
Check
BGQtype1.HARD_CF_DESC2
Description: Facility is Federal Detention Center
Inherited Universe:
Universe: GQMAIN1 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {6}
Universe Description:
Text:
This facility is out of scope at this time. You have reached a Federal Detention
Center outside of the data collection period for Federal Detention Centers. Please
press F10 or click on the F10 Exit tab and follow the instructions to exit out of the
interview and your case will be closed. Please read the script below to the contact
person.
I'm sorry, we have contacted you at a time outside of the data collection period
for Federal Detention Centers. This ends the interview. Those Federal
correctional facilities, selected for sample for the ACS, will be visited beginning
in September, in which your facility may be one of those. You will be notified
prior to our return. Thank you for your time.
Spanish Text:
Esta instalación no está incluida en la muestra en este momento. Usted ha se
puesto en contacto con una prisión federal fuera del periodo de recopilación de datos
de prisiones federales. Por favor, presione F10 o haga clic en la pestaña F10 Exit
(Salir) y siga las instrucciones para salir de la entrevista y su caso se cerrará. Por
favor, léale el guion a continuación a la persona de contacto.
Lo siento, nos hemos comunicado con usted en un momento fuera del período
de recopilación de datos para centros de detención federales. Esto termina
nuestra entrevista. Las instalaciones federales de corrección seleccionadas
para la muestra de la ACS se visitarán comenzando en septiembre. Es posible
que su instalación sea una de ellas. Se le notificará antes de nuestro regreso.
Gracias por su tiempo.
PR English Text:
PR Spanish Text:
Last Modified: Monday, December 6, 2021
Page 264 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to CF_DESC
Last Modified: Monday, December 6, 2021
Page 265 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
GROUPHOME_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype1.GROUPHOME_DD
Description: Group Home drill-down
Form Pane Label:
SAS Name: GROUPHOME_DD
Tag Name: GROUPHOME_DD
Inherited Universe:
Universe: GQMAIN1 = {3}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TGROUPHOME_DD
Value:
Mnemonic:
Description:
1
Adult Group Home
2
Juvenile Group Home
Spanish
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Hogar de Grupo para Adultos
2
Hogar de Grupo para Jóvenes
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '801' AND set GQTypeDesc1 = 'GROUP HOMES
INTENDED FOR ADULTS (NON-CORRECTIONAL)'
{2} set GQTypeCode1 = '201' AND set GQTypeDesc1 = 'GROUP HOME FOR
JUVENILES (NON-CORRECTIONAL)'
Skip Instructions: {1, 2} go to MAXCAP1
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HEALTH_DD
Field
BGQtype1.HEALTH_DD
Description: Health Facility drill-down
Form Pane Label:
SAS Name: HEALTH_DD
Tag Name: HEALTH_DD
Inherited Universe:
Universe: GQMAIN1 = {4}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: THEALTH_DD
Value:
Mnemonic:
Description:
1
Adult Residential Treatment Center (non-correctional)
2
Assisted Living, Independent Living or Continuing Care Facility
3
Nursing or Skilled Nursing Facility
4
In-Patient Hospice Facility
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
5
Hospital
6
Juvenile Residential Treatment Center (non-correctional)
Spanish
Value:
Mnemonic:
Description:
1
Centro de Tratamiento Residencial para Adultos (no correccional)
2
Centro Residencial para Personas que Necesitan Ayuda o Centro de
Cuidado Continuo
3
Institución de Convalecencia
4
Hospicio
5
Hospital
6
Centro de Tratamiento Residencial para Jóvenes (no correccional)
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '802' AND set GQTypeDesc1 = 'RESIDENTIAL
TREATMENT CENTER FOR ADULTS (NON-CORRECTIONAL)'
{3} set GQTypeCode1 = '301' AND set GQTypeDesc1 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{4} set GQTypeCode1 = '403' AND set GQTypeDesc1 = 'IN-PATIENT HOSPICE
FACILITY'
{6} set GQTypeCode1 = '202' AND set GQTypeDesc1 = 'RESIDENTIAL
TREATMENT CENTERS FOR JUVENILES (NON-CORRECTIONAL)'
Skip Instructions: {1, 3, 4, 6} go to MAXCAP1
{2} go to ALF
{5} go to HOSP_DESC
Last Modified: Monday, December 6, 2021
Page 269 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ALF
Field
BGQtype1.ALF
Description: Assisted/Ind. Living
Form Pane Label:
SAS Name: ALF
Tag Name: ALF
Inherited Universe:
Universe: HEALTH_DD = {2} AND GQMAIN1 = {4}
Universe Description:
Question Text: Does ^GQNAME_Fill have a skilled nursing unit or a nursing unit?
Spanish Question Text: ¿Tiene ^GQNAME_Fill una unidad de convalecencia?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Last Modified: Monday, December 6, 2021
Page 270 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '301' AND set GQTypeDesc1 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{2} set GQTypeCode1 = '999' AND set GQTypeDesc1 = 'empty' AND set OUTCOME
= '841'
Skip Instructions: {1} go to MAXCAP1
{2} go to OUTOFSCOPE_TY
Last Modified: Monday, December 6, 2021
Page 271 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HOSP_DESC
Field
BGQtype1.HOSP_DESC
Description: Facility Provides Treatment
Form Pane Label:
SAS Name: HOSP_DESC
Tag Name: HOSP_DESC
Inherited Universe:
Universe: HEALTH_DD = {5} AND GQMAIN1 = {4}
Universe Description:
Question Text: Does ^GQNAME_Fill provide treatment or care that includes:
If more than one category applies, enter the one with the most patients.
Spanish Question Text: ¿Provee ^GQNAME_Fill tratamiento o cuidado que incluye:
Si aplica más de una categoría, entre la que tenga más pacientes.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: THOSP_DESC
Last Modified: Monday, December 6, 2021
Page 272 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Mental/Psychiatric Hospital or Unit
2
Skilled Nursing Unit
3
Patients Who Have No Usual Home Elsewhere
4
None of the Above Apply to This Hospital
Spanish
Value:
Mnemonic:
Description:
1
Hospital o Unidad para Enfermos Mentales
2
Unidad de Convalecencia
3
Pacientes que No Tienen un Hogar Habitual en Otro Lugar
4
Ninguno de los Anteriores Aplica a Este Hospital
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '401' AND set GQTypeDesc1 = 'MENTAL (PSYCIATRIC)
HOSPITALS AND PSYCHIATRIC UNITS IN OTHER HOSPITALS'
{2} set GQTypeCode1 = '301' AND set GQTypeDesc1 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{3} set GQTypeCode1 = '402' AND set GQTypeDesc1 = 'HOSPITALS WITH
PATIENTS WHO HAVE NO USUAL HOME ELSEWHERE'
{4} set GQTypeCode1 = '999' AND set GQTypeDesc1 = 'empty' AND set OUTCOME
= '843'
Skip Instructions: {1, 2} go to MAXCAP1
{3} go to UHE_COUNT
{4} go to OUTOFSCOPE_TY
Last Modified: Monday, December 6, 2021
Page 273 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MILITARY_DD
Field
BGQtype1.MILITARY_DD
Description: Military Facility drill-down
Form Pane Label:
SAS Name: MILITARY_DD
Tag Name: MILITARY_DD
Inherited Universe:
Universe: GQMAIN1 = {5}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TMILITARY_DD
Value:
Mnemonic:
Description:
1
Barracks or Academy Residence Hall
2
Disciplinary Barracks or Jail
3
Ship
4
Military Treatment Facility with Assigned Patients
Last Modified: Monday, December 6, 2021
Page 274 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Barracas o Dormitorios de la Academia
2
Barracas Disciplinarias o Cárcel
3
Barco
4
Instalaciones Militares de Tratamiento Médico con Pacientes Asignados
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '601' AND set GQTypeDesc1 = 'MILITARY QUARTERS'
{2} set GQTypeCode1 = '106' AND set GQTypeDesc1 = 'MILITARY DISCIPLINARY
BARRACKS AND JAIL'
{3} set GQTypeCode1 = '602' AND set GQTypeDesc1 = 'MILITARY SHIP'
{4} set GQTypeCode1 = '404' AND set GQTypeDesc1 = 'MILITARY TREATMENT
FACILITIES WITH ASSIGNED PATIENTS'
Skip Instructions: {1-4} go to MAXCAP1
Last Modified: Monday, December 6, 2021
Page 275 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
OGLF_DD
Field
BGQtype1.OGLF_DD
Description: Other Facility Drill-down
Form Pane Label:
SAS Name: OGLF_DD
Tag Name: OGLF_DD
Inherited Universe:
Universe: GQMAIN1 = {6}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TOGLF_DD
Value:
Mnemonic:
Description:
1
Commune, Recreational Vehicle Park, Campground, Marina, or Racetrack
2
Religious Facility
3
Hotel, Motel, Inn, Resort, Lodge, or Bed and Breakfast
4
Job Corps or Vocational Training Facility
Last Modified: Monday, December 6, 2021
Page 276 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
5
Shelter
6
Worker's Group Living Facility
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
1
Description:
Comuna, Parque para Vehículos Recreativos, Área de Acampar, Marina o
Pista de Carrera
2
Centro Religioso
3
Hotel, Motel, Posada, Casa de Campo o Alojamiento con Desayuno
4
Job Corps o Institución de Adiestramiento Vocacional
5
Refugio
6
Alojamientos de Grupo para Trabajadores
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '999' AND set GQTypeDesc1 = 'empty' AND set OUTCOME
= '841'
{2} set GQTypeCode1 = '902' AND set GQTypeDesc1 = 'RELIGIOUS GROUP
QUARTERS (CONVENTS, MONASTERIES, ABBEYS)
{4, 6} set GQTypeCode1 = '901' AND set GQTypeDesc1 = 'WORKERS' GROUP
LIVING QUARTERS AND JOB CORPS CENTERS'
Skip Instructions: {1} go to OUTOFSCOPE_TY
{2, 4, 6} go to MAXCAP1
{3} go to HOTEL_UHE
{5} go to DVS_DD
Last Modified: Monday, December 6, 2021
Page 277 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HOTEL_UHE
Field
BGQtype1.HOTEL_UHE
Description: Shelter for homeless?
Form Pane Label:
SAS Name: HOTEL_UHE
Tag Name: HOTEL_UHE
Inherited Universe:
Universe: OGLF_DD = {3} AND GQMAIN1 = {6}
Universe Description:
Question Text: Does ^GQNAME_Fill or part of ^GQNAME_Fill provide shelter for people
experiencing homelessness?
Spanish Question Text: ¿Provee ^GQNAME_Fill o parte de ^GQNAME_Fill refugio para personas sin
hogar?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
Last Modified: Monday, December 6, 2021
Page 278 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
1
Yes
2
No
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '701' AND set GQTypeDesc1 = 'EMERGENCY AND
TRANSITIONAL SHELTERS (WITH SLEEPING FACILITIES) FOR PEOPLE
EXPERIENCING HOMELESSNESS'
{2} set GQTypeCode1 = '999' AND set GQTypeDesc1 = 'empty' AND set OUTCOME
= '843'
Skip Instructions: {1} go to UHE_COUNT
{2} go to OUTOFSCOPE_TY
Last Modified: Monday, December 6, 2021
Page 279 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DVS_DD
Field
BGQtype1.DVS_DD
Description: Domestic Violence Shelter Screener Question
Form Pane Label:
SAS Name: DVS_DD
Tag Name: DVS_DD
Inherited Universe:
Universe: OGLF_DD = {5} AND GQMAIN1 = {6}
Universe Description:
Question Text:
Domestic Violence Shelters are always out of scope for the
^American_PuertoRico_Fill.
Is this facility a Domestic Violence Shelter?
Spanish Question Text:
Los Refugio para Víctimas de Violencia Doméstica están siempre fuera de la
muestra para la recopilación de datos de la ^American_PuertoRico_Fill.
¿Es este lugar un Refugio para Víctimas de Violencia Doméstica?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Last Modified: Monday, December 6, 2021
Page 280 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 = '703' AND set GQTypeDesc1 = 'DOMESTIC VIOLENCE
SHELTERS' AND set OUTCOME = '842'
{2} set GQTypeCode1 = '701' AND set GQTypeDesc1 = 'EMERGENCY AND
TRANSITIONAL SHELTERS (WITH SLEEPING FACILITIES) FOR PEOPLE
EXPERIENCING HOMELESSNESS'
Skip Instructions: {1} go to OUTOFSCOPE_TY
{2} go to MAXCAP1
Last Modified: Monday, December 6, 2021
Page 281 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UHE_COUNT
Field
BGQtype1.UHE_COUNT
Description: UHE Capacity
Form Pane Label:
SAS Name: UHE_COUNT
Tag Name: UHE_COUNT
Inherited Universe:
Universe: (HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN1 = {4}) OR
(HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN1 = {6})
Universe Description:
Question Text: (HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN1 = {4}) Fill #1
What is the maximum number of people who have no usual home elsewhere
who can live or stay here?
(HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN1 = {6}) Fill #2
What is the maximum number of people experiencing homelessness who can
live or stay in this building?
Spanish Question Text: (HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN1 = {4}) Fill #1
¿Cuál es el número máximo de personas que no tienen un hogar habitual en
otro lugar y que pueden vivir o quedarse aquí?
(HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN1 = {6}) Fill #2
¿Cuál es el número máximo de personas sin hogar que pueden vivir o
quedarse en este edificio?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 282 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Integer
Length: 5
Min:
Max: 10000
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, D, R} go to SECGQ
Last Modified: Monday, December 6, 2021
Page 283 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
OUTOFSCOPE_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype1.OUTOFSCOPE_DD
Description: Out of Scope Drill-down
Form Pane Label:
SAS Name: OUTOFSCOPE_DD
Tag Name: OUTOFSCOPE_DD
Inherited Universe:
Universe: GQMAIN1 = {7}
Universe Description:
Question Text: Is ^GQNAME_Fill a..?
Read if necessary
Spanish Question Text: ¿Es ^GQNAME_Fill un(a)...?
Lea si es necesario
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TOUTOFSCOPE_DD
Last Modified: Monday, December 6, 2021
Page 284 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Soup kitchen
2
Regularly Scheduled Mobile Food Van
3
Targeted Non-Sheltered Outdoor Location
4
Natural Disaster Shelter
5
Maritime/Merchant Vessel
6
None of these
Spanish
Value:
Mnemonic:
Description:
1
Comedor de beneficiencia
2
Servicio rodante de comida
3
Localización específica al aire libre
4
Refugio para desastres naturales
5
Tripulación de barco
6
Ninguno de estos
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode1 AND GQCensus = '702' AND set GQTypeDesc1 = 'SOUP
KITCHENS' AND set OUTCOME = '844'
{2} set GQTypeCode1 AND GQCensus = '704' AND set GQTypeDesc1 =
'REGULARLY SCHEDULED MOBILE FOOD VAN' AND set OUTCOME = '844'
{3} set GQTypeCode1 AND GQCensus = '706' AND set GQTypeDesc1 =
'TARGETED NON-SHELTERED OUTDOOR LOCATION' AND set OUTCOME =
'844'
{4} set GQTypeCode1 AND GQCensus = '903' AND set GQTypeDesc1 = 'NATURAL
DISASTER SHELTER' AND set OUTCOME = '844'
{5} set GQTypeCode1 AND GQCensus = '900' AND set GQTypeDesc1 =
'MARITIME/MERCHANT VESSELS' AND set OUTCOME = '844'
{6} set GQTypeCode1 = '999' AND set GQTypeDesc1 = 'empty'
Skip Instructions: {1-5} go to OUTOFSCOPE_TY
{6} go to HU
Last Modified: Monday, December 6, 2021
Page 285 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
HU
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype1.HU
Description: Housing Unit
Form Pane Label:
SAS Name: HU
Tag Name: HU
Inherited Universe:
Universe: OUTOFSCOPE_DD = {6} AND GQMAIN1 = {7}
Universe Description:
Question Text:
Spanish Question Text:
Is this a housing unit?
¿Es ésta una unidad de vivienda?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
Last Modified: Monday, December 6, 2021
Page 286 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
1
Si
2
No
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set OUTCOME = '841'
{2} set OUTCOME = '844'
Skip Instructions: {1, 2} go to OUTOFSCOPE_TY
Last Modified: Friday, March 25, 2022
Page 287 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
OUTOFSCOPE_TY
Field
BGQtype1.OUTOFSCOPE_TY
Description: GQ is out of scope
Form Pane Label:
SAS Name: OUTOFSCOPE_TY
Tag Name: OUTOFSCOPE_TY
Inherited Universe:
Universe: (GQMAIN1 = {1} AND EDU_DD = {1} AND COLLEGE = {2}) OR
(GQMAIN1 = {4} AND HEALTH_DD = {2} AND ALF = {2}) OR
(GQMAIN1 = {4} AND HEALTH_DD = {5} AND HOSP_DESC = {4}) OR
(GQMAIN1 = {6} AND OGLF_DD = {1}) OR
(GQMAIN1 = {6} AND OGLF_DD = {5} AND DVS_DD = {1}) OR
(GQMAIN1 = {6} AND OGLF_DD = {3} AND HOTEL_UHE = {2}) OR
(GQMAIN1 = {7} AND OUTOFSCOPE_DD = {1-5}) OR
(GQMAIN1 = {7} AND OUTOFSCOPE_DD = {6} AND HU = {1-2})
Universe Description:
Question Text: This place is not in scope for this part of the ^American_PuertoRico_Fill.
In the future, you may be contacted again for an interview.
Spanish Question Text: Este lugar no forma parte de la ^American_PuertoRico_Fill.
En el futuro, se podrían comunicar con usted otra vez para una entrevista.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
Last Modified: Friday, March 25, 2022
Page 288 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} AND INITSCREEN = {2, 6} THEN SET TEL_PV = Tele {2}
{1} AND INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
Skip Instructions: {1} EXIT INSTRUMENT
Last Modified: Tuesday, December 7, 2021
Page 289 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP1
Field
BGQtype1.MAXCAP1
Description: Maximum Capacity
Form Pane Label:
SAS Name: MAXCAP1
Tag Name: MAXCAP1
Inherited Universe:
Universe: (GQMAIN1 = {1} AND EDU_DD = {2}) OR
(GQMAIN1 = {1} AND EDU_DD = {1} AND COLLEGE = {1}) OR
(GQMAIN1 = {2} AND CORRECTIONAL_DD = {2}) OR
(GQMAIN1 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {1-4}) OR
(GQMAIN1 = {3} AND GROUPHOME_DD = {1-2}) OR
(GQMAIN1 = {4} AND HEALTH_DD = {1, 3, 4, 6}) OR
(GQMAIN1 = {4} AND HEALTH_DD = {2} AND ALF = {1}) OR
(GQMAIN1 = {4} AND HEALTH_DD = {5} AND HOSP_DESC = {1-2}) OR
(GQMAIN1 = {5} AND MILITARY_DD = {1-4}) OR
(GQMAIN1 = {6} AND OGLF_DD = {2, 4, 6}) OR
(GQMAIN1 = {6} AND OGLF_DD = {5} AND DVS_DD = {2})
Universe Description:
Question Text: What is the maximum number of people who can live or stay at ^GQNAME_Fill?
Include only those people who are part of the ^GQTYPECODE1_Fill section of
^GQNAME_Fill. Please ^STAFFINTS_Fill any staff living or staying at
^GQNAME_Fill.
Spanish Question Text: ¿Cuál es el número máximo de personas que pueden vivir o quedarse en
^GQNAME_Fill? Incluya sólo a las personas que forman parte de la sección
^GQTYPECODE1_Fill del ^GQNAME_Fill. Por favor, ^STAFFINTS_Fill cualquier
personal que viva o se quede en ^GQNAME_Fill.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 7, 2021
Page 290 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQTYPECODE1_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE1 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE1 = 102 THEN "Prision Federal"
IF GQTYPECODE1 = 103 THEN "Prision Estatal"
IF GQTYPECODE1 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE1 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE1 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE1 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE1 = 202 THEN "Centro Residencial de Tratamiento para
Last Modified: Tuesday, December 7, 2021
Page 291 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Menores (no correccionales)"
IF GQTYPECODE1 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE1 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE1 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE1 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE1 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE1 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE1 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE1 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE1 = 601 THEN "Barraca Militar"
IF GQTYPECODE1 = 602 THEN "Buque Militar"
IF GQTYPECODE1 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE1 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE1 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE1 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE1 = 902 THEN "Alojamientos de Grupo Religiosos"
Fills: STAFFINTS_Fill
Instructions: IF GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
403,404, or 405 THEN " DO NOT include"
IF GQTYPECODE1 = 501, 601, 602, 701, 702, 703, 801, 802, 900, 901, 902 THEN =
"include"
Spanish instructions: IF GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
403,404, or 405 THEN = " NO incluya"
IF GQTYPECODE1 = 501, 601, 602, 701, 702, 703, 801, 802, 900, 901, 902 THEN =
"incluya"
Type: Integer
Length: 5
Min:
Max: 15000
Last Modified: Tuesday, December 7, 2021
Page 292 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Special Instructions: Display a standard Blaise error message that reads "Input invalid. Value not in range
1 to 15,000."
(Spanish)
2. Display a standard Blaise error message that reads "Entrada no es valÃ-da. Valor
no está entre 1 y 15000."
Skip Instructions: {NOT EMPTY, D, R} go to SECGQ
MAXCAP1 >= {10,000} go to MAXCAP1_SOFTCHK
MAXCAP1 = {NOT EMPTY, D, R} AND GQTYPE = {NOT EMPTY} AND
GQTypeCode1 <> GQTYPE go to MAXCAP1_SOFTCHK2
Last Modified: Monday, December 6, 2021
Page 293 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP1_SOFTCHK
Check
BGQtype1.MAXCAP1_SOFTCHK
Description: Unusually large population
Inherited Universe:
Universe: MAXCAP1 >= {10,000}
Universe Description:
Text: This is an unusually large amount; are you sure?
Spanish Text: Ésta es una gran cantidad fuera de lo usual; ¿está seguro(a)?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Soft
Skip Instructions: {C, G} go to MAXCAP1
{S} go to SECGQ
Last Modified: Monday, December 6, 2021
Page 294 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP1_SOFTCHK2
Check
BGQtype1.MAXCAP1_SOFTCHK2
Description: confirm GQ type change
Inherited Universe:
Universe: MAXCAP1 = {NOT EMPTY, D, R} AND GQTYPE = {NOT EMPTY} AND
GQTypeCode1 <> GQTYPE
Universe Description:
Text: Please confirm that this GQ has changed from a ^GQTYPE_Fill ^GQTYPECODE_Fill
to a ^GQTYPE1_Fill ^GQTYPECODE1_Fill.
If this is correct, select 'Suppress' and move forward with the interview. If this is not
correct, select 'Close' or 'Go to' and return to the GQMAIN1 screen and correct the
GQ type classification.
If you need additional information regarding the GQ types, please consult the GQ
Definitions Tab.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: Por favor, confirme que este GQ ha cambiado de un ^GQTYPE_Fill
^GQTypeDesc_Fill a un ^GQTYPECODE1_Fill ^GQTypeDesc1_Fill.
Si esto es correcto, seleccione 'Supress' y siga adelante con la entrevista. Si esto no
es correcto, seleccione 'Close' o 'Goto' y vuelva a la pantalla de GQMAIN1 y corrija la
clasificación del tipo de GQ.
Si necesita información adicional sobre los tipos de GQ, por favor consulte la
lengüeta de definiciones de GQ.
Last Modified: Monday, December 6, 2021
Page 295 of 592
Survey: ACS GQ LI 2023
Section: BGQtype1
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Check Instructions:
Type: Soft
Skip Instructions: {C} go to MAXCAP1
{G} go to GQMAIN1
{S} go to SECGQ
Fills: GQTYPE_Fill
Instructions: = GQTYPE
Fills: GQTYPECODE1_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Fills: GQTYPECODE_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Last Modified: Monday, December 6, 2021
Page 296 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype1
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Fills: GQTYPE1_Fill
Instructions: = GQTypeCode1
Last Modified: Monday, May 20, 2019
Page 297 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
BGQtype2
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Monday, December 6, 2021
Page 298 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SecGQ
Field
BGQtype2.SecGQ
Description: Second Group Type
Form Pane Label:
SAS Name: SECGQ
Tag Name: SECGQ
Inherited Universe:
Universe: (MAXCAP1 = {NOT EMPTY, D, R}) OR
(UHE_COUNT = {NOT EMPTY, D, R}) OR
(GQTypeCode1 < {998} AND <> {101, 102, 702, 703, 704, 706, 900, 903}) OR
(CF_DES = {4} AND GQTypecode1 = '102')
Universe Description:
Help Screen: F_GQMAIN
Question Text:
^SECGQ_Fill
Spanish Question Text:
^SECGQ_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SECGQ_Fill
Instructions: IF INITSCREEN = {3, 4} then display
This is the same list of places where people live, could live or stay and/or
receive services. Is ^GQNAME_Fill also one of the categories on the card?
Give the contact person time to read all of the categories and provide you with
a selection.
Last Modified: Monday, December 6, 2021
Page 299 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF INITSCREEN = {2, 6} then display
This is the same list of places where people live, could live or stay and/or
receive services. Is ^GQNAME_Fill also one of the categories?
Read the categories on the card. Give the contact person some time to hear all the
categories and provide you with a selection.
Spanish instructions: IF INITSCREEN = {3, 4} then display
Ésta es la misma lista de lugares donde personas viven, podrían vivir o
quedarse y/o reciben servicios. ¿Es ^GQNAME_Fill también de otra de las
categorías en la tarjeta?
Dele tiempo a la persona de contacto para que lea todas las categorías y le
indique su selección.
IF INITSCREEN = {2, 6} then display
Ésta es la misma lista de lugares donde personas viven, podrían vivir o
quedarse y/o reciben servicios. ¿Es ^GQNAME_Fill también de otra de las
categorías?
Lea las categorías en la tarjeta. Dele tiempo a la persona de contacto para que oiga
todas las categorías y le indique su selección.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Last Modified: Monday, December 6, 2021
Page 300 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to SECGQNAME
{2} AND STAY_NOW = {1} go to PEOPLEATGQ
{2} AND STAY_NOW = {2, R} go to RI_BCT
Last Modified: Monday, December 6, 2021
Page 301 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
SECGQNAME
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype2.SECGQNAME
Description: Updated GQ Name
Form Pane Label:
SAS Name: SECGQNAME
Tag Name: SECGQNAME
Inherited Universe:
Universe: SECGQ = {1}
Universe Description:
Question Text: What is the name of this place?
Enter the name that accurately describes only that part of the GQ that the contact
identified on the Information Card.
PRIMARY GQ NAME: ^GQNAME_Fill
PRIMARY GQ TYPE: ^GQTYPECODE1_Fill
SECOND GQ NAME: ^GQNAME2_Fill
SECOND GQ TYPE: ^GQTYPECODE2_Fill
Spanish Question Text: ¿Cuál es el nombre de este lugar?
Entre el nombre que describe en forma exacta sólo la parte del GQ que el contacto
identificó en la tarjeta de información.
PRIMER NOMBRE DEL GQ: ^GQNAME_Fill
PRIMER TIPO DE GQ: ^GQTYPE1CODE_Fill
SEGUNDO NOMBRE DEL GQ: ^GQNAME2_Fill
SEGUNDO TIPO DE GQ: ^GQTYPECODE2_Fill
PR English Question Text:
PR Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 302 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Fills: GQTYPECODE2_Fill
Instructions: IF GQTYPECODE2 = 101 THEN "Federal Detention Center"
IF GQTYPECODE2 = 102 THEN "Federal Prison"
IF GQTYPECODE2 = 103 THEN "State Prison"
IF GQTYPECODE2 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE2 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE2 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE2 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE2 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE2 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE2 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE2 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE2 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE2 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE2 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE2 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE2 = 501 THEN "College/University Student Housing"
IF GQTYPECODE2 = 601 THEN "Military Barrack"
IF GQTYPECODE2 = 602 THEN "Military Ship"
IF GQTYPECODE2 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE2 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE2 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE2 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE2 = 902 THEN "Religious Group Quarters"
Last Modified: Monday, December 6, 2021
Page 303 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish instructions: IF GQTYPECODE2 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE2 = 102 THEN "Prision Federal"
IF GQTYPECODE2 = 103 THEN "Prision Estatal"
IF GQTYPECODE2 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE2 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE2 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE2 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE2 = 202 THEN "Centro Residencial de Tratamiento para
Menores (no correccionales)"
IF GQTYPECODE2 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE2 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE2 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE2 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE2 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE2 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE2 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE2 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE2 = 601 THEN "Barraca Militar"
IF GQTYPECODE2 = 602 THEN "Buque Militar"
IF GQTYPECODE2 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE2 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE2 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE2 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE2 = 902 THEN "Alojamientos de Grupo Religiosos"
Fills: GQTYPECODE1_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
Last Modified: Monday, December 6, 2021
Page 304 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE1 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE1 = 102 THEN "Prision Federal"
IF GQTYPECODE1 = 103 THEN "Prision Estatal"
IF GQTYPECODE1 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE1 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE1 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE1 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE1 = 202 THEN "Centro Residencial de Tratamiento para
Menores (no correccionales)"
IF GQTYPECODE1 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE1 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE1 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE1 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE1 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE1 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE1 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE1 = 501 THEN "Vivienda para Estudiantes Universitarios"
Last Modified: Monday, December 6, 2021
Page 305 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE1 = 601 THEN "Barraca Militar"
IF GQTYPECODE1 = 602 THEN "Buque Militar"
IF GQTYPECODE1 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE1 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE1 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE1 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE1 = 902 THEN "Alojamientos de Grupo Religiosos"
Type: String
Length: 100
x Don't Know
x Refuse
x Empty
On Input
x On Output
Store Instructions: Fill in the blank. Allow 100 characters.
Array:
Special Instructions: 1. Interviewer instructions "SECOND GQ NAME: [fill ^GQNAME2 for second GQ]
SECOND GQ TYPE; [fill ^GQTYPECODE2] can only be filled after this information
is collected. Thus, these will not be displayed when info is collected. However, after
this info is collected and upon backing up to this, display this info.
(Spanish)
1. Interviewer instructions "NOMBRE SECUNDARIO DEL GQ: [fill: GQNAME#2 for
second GQ]
*TIPO SECUNDARIO DE GQ: [fill: GQTYPE2CODE]" can only be filled after this
information is collected. Thus, these will not be displayed when info is collected.
However, after this info is collected and upon backing up to this, display this info.
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to GQMAIN2
Last Modified: Monday, December 6, 2021
Page 306 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GQMAIN2
Field
BGQtype2.GQMAIN2
Description: Second GQ Category
Form Pane Label:
SAS Name: GQMAIN2
Tag Name: GQMAIN2
Inherited Universe:
Universe: SECGQNAME = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Help Screen: F_GQMAIN
Question Text:
Special Place Name: ^SPNAME_Fill
Group Quarters name: ^GQNAME_Fill
^GQMAIN2_Fill
Spanish Question Text:
Nombre del Lugar Especial: ^SPNAME_Fill
Nombre del Alojamiento de Grupo: ^GQNAME_Fill
^GQMAIN2_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPNAME_Fill
Instructions: Special place name of the Group Quarters.
Last Modified: Monday, December 6, 2021
Page 307 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQMAIN2_Fill
Instructions: IF INITSCREEN = {3, 4} then display
Please tell me which is the category that best describes ^GQNAME2_Fill.
This type code must be different from the first type code.
The second GQ name must accurately describe only the GQ that reflects the
second type code.
IF INITSCREEN = {2, 6} then display
Please tell me which is the category that best describes ^GQNAME2_Fill.
Read the categories below. Give the contact person time to hear all the categories
and provide you with a selection.
This type code must be different from the first type code.
The second GQ name must accurately describe only the GQ that reflects the second
type code.
Spanish instructions: IF INITSCREEN = {3, 4} then display
Por favor, dígame cuál categoría describe mejor ^GQNAME2_Fill.
Este tipo de código tiene que ser diferente del primer tipo de código.
El segundo nombre del GQ tiene que describir en forma exacta sólo el GQ que
refleja el segundo tipo de código.
IF INITSCREEN = {2, 6} then display
Por favor, dígame cuál categoría describe mejor ^GQNAME2_Fill.
Lea las categorías que aparecen a continuación. Dele tiempo a la persona de
contacto para que oiga todas las categorías y le indique su selección.
Este código de tipo debe ser distinto del primer código de tipo.
El segundo nombre del GQ tiene que describir en forma exacta solo el GQ que
refleja el segundo código de tipo.
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Type: Enumerated
Length: 1
Last Modified: Monday, December 6, 2021
Page 308 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TGQMAIN2.1
Value:
Mnemonic:
Description:
1
Educational Facility
2
Correctional Facility
3
Group Home
4
Health Care Treatment Facility
5
Military
6
Other Group Living Facilities
Spanish
Value:
Mnemonic:
Description:
1
Institución Educativa
2
Institución de Corrección
3
Hogar de Grupo
4
Facilidad para el Cuidado de la Salud o de Tratamiento
5
Militar
6
Otros Centros Residenciales para Grupos
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: IF INITSCREEN = {3, 4} then display Flashcard
IF INITSCREEN = {2, 6} then do not display Flashcard
Skip Instructions: {1} go to EDU_DD
{2} go to CORRECTIONAL_DD
{3} go to GROUPHOME_DD
{4} go to HEALTH_DD
{5} go to MILITARY_DD
{6} go to OGLF_DD
Last Modified: Monday, December 6, 2021
Page 309 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
EDU_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype2.EDU_DD
Description: Education drill-down
Form Pane Label:
SAS Name: EDU_DD
Tag Name: EDU_DD
Inherited Universe:
Universe: GQMAIN2 = {1}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TEDU_DD
Value:
Mnemonic:
Description:
1
College/University Student Housing
2
Residential School for People with Disabilities
Spanish
Last Modified: Monday, December 6, 2021
Page 310 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Vivienda Estudiantil de Colegios/Universidades
2
Escuela Residencial para Personas con Impedimentos
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '501' AND set GQTypeDesc2 = 'COLLEGE/UNIVERSITY
STUDENT HOUSING'
{2} set GQTypeCode2 = '405' AND set GQTypeDesc2 = 'RESIDENTIAL SCHOOLS
FOR PEOPLE WITH DISABILITIES'
Skip Instructions: {1} go to COLLEGE
{2} go to MAXCAP2
Last Modified: Monday, December 6, 2021
Page 311 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
College
Field
BGQtype2.College
Description: College/University Student Housing
Form Pane Label:
SAS Name: College
Tag Name: College
Inherited Universe:
Universe: EDU_DD = {1} AND GQMAIN2 = {1}
Universe Description:
Question Text: Is ^GQNAME2_Fill used primarily to provide housing for college students?
Spanish Question Text: ¿Es ^GQNAME2_Fill usada primordialmente para proveer vivienda para
estudiantes universitarios?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Type: Enumerated
Length: 1
Answer List: TYES_NO
Last Modified: Monday, December 6, 2021
Page 312 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set GQTypeCode2 = '999' AND SET GQTypeDesc2 = 'empty'
Skip Instructions: {1} go to MAXCAP2
{2} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 313 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
CORRECTIONAL_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype2.CORRECTIONAL_DD
Description: Correctional drill-down
Form Pane Label:
SAS Name: CORRECTIONAL_DD
Tag Name: CORRECTIONAL_DD
Inherited Universe:
Universe: GQMAIN2 = {2}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TCORRECTIONAL_DD
Value:
Mnemonic:
Description:
1
Adult Correctional Residential Facility
2
Juvenile Correctional Facility
Spanish
Last Modified: Monday, December 6, 2021
Page 314 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Institución Residencial de Corrección para Adultos
2
Institución de Corrección para Jóvenes
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set GQTypeCode2 = '203' AND set GQTypeDesc2 = 'CORRECTIONAL
FACILITIES INTENDED FOR JUVENILES'
Skip Instructions: {1} go to CF_DESC
{2} go to MAXCAP2
Last Modified: Monday, December 6, 2021
Page 315 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CF_DESC
Field
BGQtype2.CF_DESC
Description: Correctional Facility Type
Form Pane Label:
SAS Name: CF_DESC
Tag Name: CF_DESC
Inherited Universe:
Universe: CORRECTIONAL_DD = {1} AND GQMAIN2 = {2}
Universe Description:
Question Text: Which of the following categories describes ^GQNAME2_Fill?
If more than one category applies, mark the one with the most prisoners.
Spanish Question Text: ¿Cuál de las siguientes categorías describe ^GQNAME2_Fill?
Si aplica más de una categoría en la tarjeta de información, marque la que tenga
más presos.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Type: Enumerated
Last Modified: Monday, December 6, 2021
Page 316 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Length: 1
Answer List: TCF_DESC
Value:
Mnemonic:
Description:
1
State Prison/Privately Operated Facility housing mainly state prisoners
2
Local or County Jail/Privately Operated Facility housing mainly local or county
prisoners
3
Adult Residential Correctional Facility
4
Privately Operated Facility housing mainly federal prisoners
5
Federal Prison
6
Federal Detention Center
Spanish
Value:
Mnemonic:
1
Description:
Prisión estatal/Instalación de gestión privada donde están recluidos
principalmente prisioneros del estado
2
Cárcel local o del condado(if PR municipio)/Instalación de gestión
privada donde están recluidos principalmente prisioneros del
condado/municipio
3
Institución Residencial de Corrección para Adultos
4
Instalaciones de Corrección Operadas Privadamente (Federal)
5
Prisión Federal
6
Centro de Detención Federal
PR Spanish
Value:
Mnemonic:
Description:
2
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '103' AND set GQTypeDesc2 = 'STATE PRISON'
{2} set GQTypeCode2 = '104' AND set GQTypeDesc2 = 'LOCAL JAIL & OTHER
MUNICIPAL CONFINEMENT FACILITIES'
{3} set GQTypeCode2 = '105' AND set GQTypeDesc2 = 'CORRECTIONAL
Last Modified: Monday, December 6, 2021
Page 317 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
RESIDENTIAL FACILITY'
{4} set GQTypeCode2 = '102' AND set GQTypeDesc2 = 'FEDERAL PRISON'
{5} set GQTypeCode2 = '102' AND set GQTypeDesc2 = 'FEDERAL PRISON' AND
set OUTCOME = '844'
{6} set GQTypeCode2 = '101' AND set GQTypeDesc2 = 'FEDERAL DETENTION
CENTER' AND set OUTCOME = '844'
Skip Instructions: {1-4} go to MAXCAP2
{5} go to CF_DESC_SOFTCHK
{6} go to CF_DESC_SOFTCHK2
Last Modified: Monday, December 6, 2021
Page 318 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CF_DESC
Check
BGQtype2.HARD_CF_DESC
Description: GQ Type 2 is Federal Prison
Inherited Universe:
Universe: GQMAIN2 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {5}
Universe Description:
Text: You have attempted to collect GQ information for Federal Prison outside of the data
collection period for Federal Prisons. Please read the script below to the respondent
and continue with the interview.
Federal facilities are out of scope at this time of data collection. Is this GQ
another of the categories on this card?
PR English Text:
Spanish Text: Usted ha tratado de recopilar información sobre GQ de una instalación federal
(prisión o centro de detención) fuera del período de recopilación de datos para
instalaciones federales. Lea el texto a continuación y continúe con la entrevista de
GQ.
Las instalaciones federales están fuera de la muestra en este momento de la
recopilación de datos. ¿Pertenece ^GQNAME_Fill también a otra de las
categorías en la tarjeta?
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to SECGQ
Last Modified: Monday, December 6, 2021
Page 319 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Monday, December 6, 2021
Page 320 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CF_DESC2
Check
BGQtype2.HARD_CF_DESC2
Description: GQ Type 2 is Federal Detention Center
Inherited Universe:
Universe: GQMAIN2 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {6}
Universe Description:
Text: You have attempted to collect GQ information for Federal Prison outside of the data
collection period for Federal Prisons. Please read the script below to the respondent
and continue with the interview.
Federal facilities are out of scope at this time of data collection. Is this GQ
another of the categories on this card?
Spanish Text: Usted ha tratado de recopilar información sobre GQ de una instalación federal
(prisión o centro de detención) fuera del período de recopilación de datos para
instalaciones federales. Lea el texto a continuación y continúe con la entrevista de
GQ.
Las instalaciones federales están fuera de la muestra en este momento de la
recopilación de datos. ¿Pertenece ^GQNAME_Fill también a otra de las
categorías en la tarjeta?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to SECGQ
Last Modified: Monday, December 6, 2021
Page 321 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Monday, December 6, 2021
Page 322 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GROUPHOME_DD
Field
BGQtype2.GROUPHOME_DD
Description: Group Home drill-down
Form Pane Label:
SAS Name: GROUPHOME_DD
Tag Name: GROUPHOME_DD
Inherited Universe:
Universe: GQMAIN2 = {3}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TGROUPHOME_DD
Value:
Mnemonic:
Description:
1
Adult Group Home
2
Juvenile Group Home
Spanish
Last Modified: Monday, December 6, 2021
Page 323 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Hogar de Grupo para Adultos
2
Hogar de Grupo para Jóvenes
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '801' AND set GQTypeDesc2 = 'GROUP HOMES
INTENDED FOR ADULTS (NON-CORRECTIONAL)'
{2} set GQTypeCode2 = '201' AND set GQTypeDesc2 = 'GROUP HOME FOR
JUVENILES (NON-CORRECTIONAL)'
Skip Instructions: {1, 2} go to MAXCAP2
Last Modified: Monday, December 6, 2021
Page 324 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HEALTH_DD
Field
BGQtype2.HEALTH_DD
Description: Health Facility drill-down
Form Pane Label:
SAS Name: HEALTH_DD
Tag Name: HEALTH_DD
Inherited Universe:
Universe: GQMAIN2 = {4}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: THEALTH_DD
Value:
Mnemonic:
Description:
1
Adult Residential Treatment Center (non-correctional)
2
Assisted Living, Independent Living or Continuing Care Facility
3
Nursing or Skilled Nursing Facility
4
In-Patient Hospice Facility
Last Modified: Monday, December 6, 2021
Page 325 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
5
Hospital
6
Juvenile Residential Treatment Center (non-correctional)
Spanish
Value:
Mnemonic:
Description:
1
Centro de Tratamiento Residencial para Adultos (no correccional)
2
Centro Residencial para Personas que Necesitan Ayuda o Centro de
Cuidado Continuo
3
Institución de Convalecencia
4
Hospicio
5
Hospital
6
Centro de Tratamiento Residencial para Jóvenes (no correccional)
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '802' AND set GQTypeDesc2 = 'RESIDENTIAL
TREATMENT CENTER FOR ADULTS (NON-CORRECTIONAL)'
{3} set GQTypeCode2 = '301' AND set GQTypeDesc2 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{4} set GQTypeCode2 = '403' AND set GQTypeDesc2 = 'IN-PATIENT HOSPICE
FACILITY'
{6} set GQTypeCode2 = '202' AND set GQTypeDesc2 = 'RESIDENTIAL
TREATMENT CENTERS FOR JUVENILES (NON-CORRECTIONAL)'
Skip Instructions: {1, 3, 4, 6} go to MAXCAP2
{2} go to ALF
{5} go to HOSP_DESC
Last Modified: Monday, December 6, 2021
Page 326 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ALF
Field
BGQtype2.ALF
Description: Assisted/Ind. Living
Form Pane Label:
SAS Name: ALF
Tag Name: ALF
Inherited Universe:
Universe: HEALTH_DD = {2} AND GQMAIN2 = {4}
Universe Description:
Question Text: Does ^GQNAME2_Fill have a skilled nursing unit or a nursing unit?
Spanish Question Text: ¿Tiene ^GQNAME2_Fill una unidad de convalecencia?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
Last Modified: Monday, December 6, 2021
Page 327 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
1
Yes
2
No
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '301' AND set GQTypeDesc2
FACILITIES/SKILLED NURSING FACILITIES'
{2} set GQTypeCode2 = '999' AND set GQTypeDesc2 = 'empty'
=
'NURSING
Skip Instructions: {1} go to MAXCAP2
{2} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 328 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HOSP_DESC
Field
BGQtype2.HOSP_DESC
Description: Facility Provides Treatment
Form Pane Label:
SAS Name: HOSP_DESC
Tag Name: HOSP_DESC
Inherited Universe:
Universe: HEALTH_DD = {5} AND GQMAIN2 = {4}
Universe Description:
Question Text: Does ^GQNAME2_Fill provide treatment or care that includes:
If more than one category applies, enter the one with the most patients.
Spanish Question Text: ¿Provee ^GQNAME2_Fill tratamiento o cuidado que incluye:
Si aplica más de una categoría, entre la que tenga más pacientes.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Type: Enumerated
Length: 1
Last Modified: Monday, December 6, 2021
Page 329 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: THOSP_DESC
Value:
Mnemonic:
Description:
1
Mental/Psychiatric Hospital or Unit
2
Skilled Nursing Unit
3
Patients Who Have No Usual Home Elsewhere
4
None of the Above Apply to This Hospital
Spanish
Value:
Mnemonic:
Description:
1
Hospital o Unidad para Enfermos Mentales
2
Unidad de Convalecencia
3
Pacientes que No Tienen un Hogar Habitual en Otro Lugar
4
Ninguno de los Anteriores Aplica a Este Hospital
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '401' AND set GQTypeDesc2 = 'MENTAL (PSYCIATRIC)
HOSPITALS AND PSYCHIATRIC UNITS IN OTHER HOSPITALS'
{2} set GQTypeCode2 = '301' AND set GQTypeDesc2 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{3} set GQTypeCode2 = '402' AND set GQTypeDesc2 = 'HOSPITALS WITH
PATIENTS WHO HAVE NO USUAL HOME ELSEWHERE'
{4} set GQTypeCode2 = '999' AND set GQTypeDesc2 = 'empty'
Skip Instructions: {1, 2} go to MAXCAP2
{3} go to UHE_COUNT
{4} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 330 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MILITARY_DD
Field
BGQtype2.MILITARY_DD
Description: Military Facility drill-down
Form Pane Label:
SAS Name: MILITARY_DD
Tag Name: MILITARY_DD
Inherited Universe:
Universe: GQMAIN2 = {5}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TMILITARY_DD
Value:
Mnemonic:
Description:
1
Barracks or Academy Residence Hall
2
Disciplinary Barracks or Jail
3
Ship
4
Military Treatment Facility with Assigned Patients
Last Modified: Monday, December 6, 2021
Page 331 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Barracas o Dormitorios de la Academia
2
Barracas Disciplinarias o Cárcel
3
Barco
4
Instalaciones Militares de Tratamiento Médico con Pacientes Asignados
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '601' AND set GQTypeDesc2 = 'MILITARY QUARTERS'
{2} set GQTypeCode2 = '106' AND set GQTypeDesc2 = 'MILITARY DISCIPLINARY
BARRACKS AND JAIL'
{3} set GQTypeCode2 = '602' AND set GQTypeDesc2 = 'MILITARY SHIP'
{4} set GQTypeCode2 = '404' AND set GQTypeDesc2 = 'MILITARY TREATMENT
FACILITIES WITH ASSIGNED PATIENTS'
Skip Instructions: {1-4} go to MAXCAP2
Last Modified: Monday, December 6, 2021
Page 332 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
OGLF_DD
Field
BGQtype2.OGLF_DD
Description: Other Facility Drill-down
Form Pane Label:
SAS Name: OGLF_DD
Tag Name: OGLF_DD
Inherited Universe:
Universe: GQMAIN2 = {6}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TOGLF_DD
Value:
Mnemonic:
Description:
1
Commune, Recreational Vehicle Park, Campground, Marina, or Racetrack
2
Religious Facility
3
Hotel, Motel, Inn, Resort, Lodge, or Bed and Breakfast
4
Job Corps or Vocational Training Facility
Last Modified: Monday, December 6, 2021
Page 333 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
5
Shelter
6
Worker's Group Living Facility
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
1
Description:
Comuna, Parque para Vehículos Recreativos, Área de Acampar, Marina o
Pista de Carrera
2
Centro Religioso
3
Hotel, Motel, Posada, Casa de Campo o Alojamiento con Desayuno
4
Job Corps o Institución de Adiestramiento Vocacional
5
Refugio
6
Alojamientos de Grupo para Trabajadores
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '999' AND set GQTypeDesc2 = 'empty'
{2} set GQTypeCode2 = '902' AND set GQTypeDesc2 = 'RELIGIOUS GROUP
QUARTERS (CONVENTS, MONASTERIES, ABBEYS)'
{4, 6} set GQTypeCode2 = '901' AND set GQTypeDesc2 = 'WORKERS' GROUP
LIVING QUARTERS AND JOB CORPS CENTERS'
Skip Instructions: {1} go to PEOPLEATGQ
{2, 4, 6} go to MAXCAP2
{3} go to HOTEL_UHE
{5} go to DVS_DD
Last Modified: Monday, December 6, 2021
Page 334 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HOTEL_UHE
Field
BGQtype2.HOTEL_UHE
Description: Shelter for homeless?
Form Pane Label:
SAS Name: HOTEL_UHE
Tag Name: HOTEL_UHE
Inherited Universe:
Universe: OGLF_DD = {3} AND GQMAIN2 = {6}
Universe Description:
Question Text: Does ^GQNAME2_Fill or part of ^GQNAME2_Fill provide shelter for people
experiencing homelessness?
Spanish Question Text: ¿Provee ^GQNAME2_Fill o parte de ^GQNAME2_Fill refugio para personas sin
hogar?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Type: Enumerated
Length: 1
Answer List: TYES_NO
Last Modified: Monday, December 6, 2021
Page 335 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '701' AND set GQTypeDesc2 = 'EMERGENCY AND
TRANSITIONAL SHELTERS (WITH SLEEPING FACILITIES) FOR PEOPLE
EXPERIENCING HOMELESSNESS'
{2} set GQTypeCode2 = '999' AND set GQTypeDesc2 = 'empty'
Skip Instructions: {1} go to UHE_COUNT
{2} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 336 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DVS_DD
Field
BGQtype2.DVS_DD
Description: Domestic Violence Shelter Screener Question
Form Pane Label:
SAS Name: DVS_DD
Tag Name: DVS_DD
Inherited Universe:
Universe: OGLF_DD = {5} AND GQMAIN2 = {6}
Universe Description:
Question Text: Domestic Violence Shelters are always out of scope for the
^American_PuertoRico_Fill.
Is this facility a Domestic Violence Shelter?
Spanish Question Text: Los Refugio para Víctimas de Violencia Doméstica están siempre fuera de la
muestra para la recopilación de datos de ^American_PuertoRico_Fill.
¿Es este lugar un Refugio para Víctimas de Violencia Doméstica?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Last Modified: Monday, December 6, 2021
Page 337 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode2 = '703' AND set GQTypeDesc2 = 'DOMESTIC VIOLENCE
SHELTERS'
{2} set GQTypeCode2 = '701' AND set GQTypeDesc2 = 'EMERGENCY AND
TRANSITIONAL SHELTERS (WITH SLEEPING FACILITIES) FOR PEOPLE
EXPERIENCING HOMELESSNESS'
Skip Instructions: {1} go to TerGQ
{2} go to MAXCAP2
Last Modified: Monday, December 6, 2021
Page 338 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UHE_COUNT
Field
BGQtype2.UHE_COUNT
Description: UHE Capacity
Form Pane Label:
SAS Name: UHE_COUNT
Tag Name: UHE_COUNT
Inherited Universe:
Universe: (HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN2 = {4}) OR
(HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN2 = {6})
Universe Description:
Question Text: HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN2 = {4} THEN Fill #1
What is the maximum number of people who have no usual home elsewhere
who can live or stay here?
HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN2 = {6} THEN Fill #2
What is the maximum number of people experiencing homelessness who can
live or stay in this building?
Spanish Question Text: HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN2 = {4} THEN Fill #1
¿Cuál es el número máximo de personas que no tienen un hogar habitual en
otro lugar y que pueden vivir o quedarse aquí?
HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN2 = {6} THEN Fill #2
¿Cuál es el número máximo de personas sin hogar que pueden vivir o
quedarse en este edificio?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 339 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Integer
Length: 5
Min:
Max: 10000
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, D, R} go to TERGQ
Last Modified: Monday, December 6, 2021
Page 340 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP2
Field
BGQtype2.MAXCAP2
Description: Maximum Capacity
Form Pane Label:
SAS Name: MAXCAP2
Tag Name: MAXCAP2
Inherited Universe:
Universe: (GQMAIN2 = {1} AND EDU_DD = {2}) OR
(GQMAIN2 = {1} AND EDU_DD = {1} AND COLLEGE = {1}) OR
(GQMAIN2 = {2} AND CORRECTIONAL_DD = {2}) OR
(GQMAIN2 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {1-4}) OR
(GQMAIN2 = {3} AND GROUPHOME_DD = {1, 2}) OR
(GQMAIN2 = {4} AND HEALTH_DD = {1, 3, 4, 6}) OR
(GQMAIN2 = {4} AND HEALTH_DD = {2} AND ALF = {1}) OR
(GQMAIN2 = {4} AND HEALTH_DD = {5} AND HOSP_DESC = {1, 2}) OR
(GQMAIN2 = {5} AND MILITARY_DD = {1-4}) OR
(GQMAIN2 = {6} AND OGLF_DD = {2, 4, 6}) OR
(GQMAIN2 = {6} AND OGLF_DD = {5} AND DVS_DD = {2})
Universe Description:
Question Text: What is the maximum number of people who can live or stay at
^GQNAME2_Fill? Include only those people who are part of the
^GQTYPECODE2_Fill section of ^GQNAME2_Fill. Please ^STAFFINTS_Fill any
staff living or staying at ^GQNAME2_Fill.
Spanish Question Text: ¿Cuál es el número máximo de personas que pueden vivir o quedarse en
^GQNAME2_Fill? Incluya sólo a las personas que forman parte de la sección
^GQTYPECODE2_Fill del ^GQNAME2_Fill. Por favor, ^STAFFINTS_Fill
cualquier personal que viva o se quede en ^GQNAME2_Fill.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 341 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Fills: GQTYPECODE2_Fill
Instructions: IF GQTYPECODE2 = 101 THEN "Federal Detention Center"
IF GQTYPECODE2 = 102 THEN "Federal Prison"
IF GQTYPECODE2 = 103 THEN "State Prison"
IF GQTYPECODE2 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE2 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE2 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE2 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE2 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE2 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE2 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE2 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE2 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE2 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE2 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE2 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE2 = 501 THEN "College/University Student Housing"
IF GQTYPECODE2 = 601 THEN "Military Barrack"
IF GQTYPECODE2 = 602 THEN "Military Ship"
IF GQTYPECODE2 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE2 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE2 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE2 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE2 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE2 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE2 = 102 THEN "Prision Federal"
IF GQTYPECODE2 = 103 THEN "Prision Estatal"
IF GQTYPECODE2 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE2 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE2 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE2 = 201 THEN "Hogar de Grupo para Menores (no
Last Modified: Monday, December 6, 2021
Page 342 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
correccionales)"
IF GQTYPECODE2 = 202 THEN "Centro Residencial de Tratamiento para
Menores (no correccionales)"
IF GQTYPECODE2 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE2 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE2 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE2 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE2 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE2 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE2 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE2 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE2 = 601 THEN "Barraca Militar"
IF GQTYPECODE2 = 602 THEN "Buque Militar"
IF GQTYPECODE2 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE2 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE2 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE2 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE2 = 902 THEN "Alojamientos de Grupo Religiosos"
Fills: STAFFINTS_Fill
Instructions: IF GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
403,404, or 405 THEN " DO NOT include"
IF GQTYPECODE1 = 501, 601, 602, 701, 702, 703, 801, 802, 900, 901, 902 THEN =
"include"
Spanish instructions: IF GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
403,404, or 405 THEN = " NO incluya"
IF GQTYPECODE1 = 501, 601, 602, 701, 702, 703, 801, 802, 900, 901, 902 THEN =
"incluya"
Type: Integer
Length: 5
Min:
Max: 15000
Last Modified: Monday, December 6, 2021
Page 343 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, D, R} go to TERGQ
MAXCAP2 >= {10,000} go to MAXCAP2_SOFTCHK
GQTYPECODE1 = {GQTYPECODE2} go to HARDMAXCAP2
Last Modified: Monday, December 6, 2021
Page 344 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAXCAP2
Check
BGQtype2.HARD_MAXCAP2
Description: GQ Type for GQ2 must be different than GQ1
Inherited Universe:
Universe: GQTypeCode2 = GQTypeCode1
Universe Description:
Text: The Second GQ Type Code ^GQTYPECODE2_Fill must be different from the primary
GQ type code ^GQTYPECODE1_Fill. Please correct.
Spanish Text: El segundo código del tipo de GQ ^GQTYPECODE2_Fill tiene que ser diferente del
primer código del tipo de GQ ^GQTYPECODE1_Fill. Por favor, corríjalo.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to MAXCAP2
Fills: GQTYPECODE2_Fill
Instructions: IF GQTYPECODE2 = 101 THEN "Federal Detention Center"
IF GQTYPECODE2 = 102 THEN "Federal Prison"
IF GQTYPECODE2 = 103 THEN "State Prison"
IF GQTYPECODE2 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE2 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE2 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE2 = 201 THEN "Group Home for Juveniles (non-correctional)"
Last Modified: Monday, December 6, 2021
Page 345 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE2 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE2 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE2 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE2 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE2 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE2 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE2 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE2 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE2 = 501 THEN "College/University Student Housing"
IF GQTYPECODE2 = 601 THEN "Military Barrack"
IF GQTYPECODE2 = 602 THEN "Military Ship"
IF GQTYPECODE2 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE2 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE2 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE2 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE2 = 902 THEN "Religious Group Quarters"
Fills: GQTYPECODE1_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
Last Modified: Monday, December 6, 2021
Page 346 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Last Modified: Monday, December 6, 2021
Page 347 of 592
Survey: ACS GQ LI 2023
Section: BGQtype2
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP2_SOFTCHK
Check
BGQtype2.MAXCAP2_SOFTCHK
Description: Unusually large population
Inherited Universe:
Universe: MAXCAP2 >= {10,000}
Universe Description:
Text: This is an unusually large amount; are you sure?
Spanish Text: Ésta es una gran cantidad fuera de lo usual; ¿está seguro(a)?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Soft
Skip Instructions: {C, G} go to MAXCAP2
{S} go to TerGQ
Last Modified: Monday, May 20, 2019
Page 348 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
BGQtype3
Block
BGQtype3
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Monday, December 6, 2021
Page 349 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
TerGQ
Field
BGQtype3.TerGQ
Description: Third Group Type
Form Pane Label:
SAS Name: TerGQ
Tag Name: TerGQ
Inherited Universe:
Universe: (MAXCAP2 = {NOT EMPTY, D, R}) OR
(GQMAIN2 = {4} AND HEALTH_DD = {5} AND HOSP_DESC = {3} AND
UHE_COUNT = {NOT EMPTY, D, R}) OR
(GQMAIN2 = {6} AND OGLF_DD = {3} AND HOTEL_UHE = {1} AND UHE_COUNT =
{NOT EMPTY, D, R}) OR
(GQMAIN2 = {6} AND OGLF_DD = {5} AND DVS_DD = {1})
Universe Description:
Help Screen: F_GQMAIN
Question Text:
^TerGQ_Fill
Spanish Question Text:
^TerGQ_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: TerGQ_Fill
Instructions: IF INITSCREEN = {3, 4} then display
This is the same list of places where people live, could live or stay and/or
receive services. Is ^GQNAME_Fill also one of the categories on the card?
Last Modified: Monday, December 6, 2021
Page 350 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Give the contact person some time to read all the categories and provide you
with a selection.
IF INITSCREEN = {2, 6} then display
This is the same list of places where people live, could live or stay and/or
receive services. Is ^GQNAME_Fill also one of the categories?
Read the categories on the card. Give the contact person some time to hear all the
categories and provide you with a selection.
Spanish instructions: IF INITSCREEN = {3, 4} then display
Ésta es la misma lista de lugares donde personas viven, podrían vivir o
quedarse y/o reciben servicios. ¿Es ^GQNAME_Fill también de otra de las
categorías en la tarjeta?
Dele tiempo a la persona de contacto para que lea todas las categorías y le indique
su selección.
IF INITSCREEN = {2, 6} then display
Ésta es la misma lista de lugares donde personas viven, podrían vivir o
quedarse y/o reciben servicios. ¿Es ^GQNAME_Fill también de otra de las
categorías?
Lea las categorías en la tarjeta. Dele tiempo a la persona de contacto para que oiga
todas las categorías y le indique su selección.
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Last Modified: Monday, December 6, 2021
Page 351 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to TERGQNAME
{2} AND STAY_NOW = {1} go to PEOPLEATGQ
{2} AND STAY_NOW = {2, R} go to RI_BCT
Last Modified: Monday, December 6, 2021
Page 352 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
TERGQNAME
Field
BGQtype3.TERGQNAME
Description: Updated GQ Name
Form Pane Label:
SAS Name: TERGQNAME
Tag Name: TERGQNAME
Inherited Universe:
Universe: TerGQ = {1}
Universe Description:
Question Text: What is the name of this place?
Enter the name that accurately describes only the part of the GQ that the contact
identified on the information card.
PRIMARY GQ NAME: ^GQNAME_Fill
PRIMARY GQ TYPE: ^GQTYPECODE1_Fill
SECOND GQ NAME: ^GQNAME2_Fill
SECOND GQ TYPE: ^GQTYPECODE2_Fill
THIRD GQ NAME: ^GQNAME3_Fill
THIRD GQTYPE: ^GQTYPECODE3_Fill
Spanish Question Text: ¿Cuál es el nombre de este lugar?
Este nombre tiene que ser diferente de los otros nombres que describen el GQ.
PRIMER NOMBRE DEL GQ: ^GQNAME_Fill
PRIMER TIPO DE GQ: ^GQTYPE1CODE_Fill
SEGUNDO NOMBRE DEL GQ: ^GQNAME2_Fill
SEGUNDO TIPO DE GQ: ^GQTYPE2CODE_Fill
TERCER NOMBRE DEL GQ: ^GQNAME3_Fill
TERCER TIPO DE GQ: ^GQTYPE3CODE_Fill
PR English Question Text:
Last Modified: Monday, December 6, 2021
Page 353 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQNAME2_Fill
Instructions: SECGQNAME OR IF EMPTY THEN "this GQ"
Spanish instructions: SECGQNAME OR IF EMPTY THEN "este GQ"
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Fills: GQTYPECODE1_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
Last Modified: Monday, December 6, 2021
Page 354 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE1 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE1 = 102 THEN "Prision Federal"
IF GQTYPECODE1 = 103 THEN "Prision Estatal"
IF GQTYPECODE1 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE1 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE1 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE1 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE1 = 202 THEN "Centro Residencial de Tratamiento para
Menores (no correccionales)"
IF GQTYPECODE1 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE1 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE1 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE1 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE1 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE1 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE1 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE1 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE1 = 601 THEN "Barraca Militar"
IF GQTYPECODE1 = 602 THEN "Buque Militar"
IF GQTYPECODE1 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE1 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE1 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE1 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE1 = 902 THEN "Alojamientos de Grupo Religiosos"
Fills: GQTYPECODE2_Fill
Instructions: IF GQTYPECODE2 = 101 THEN "Federal Detention Center"
Last Modified: Monday, December 6, 2021
Page 355 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE2 = 102 THEN "Federal Prison"
IF GQTYPECODE2 = 103 THEN "State Prison"
IF GQTYPECODE2 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE2 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE2 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE2 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE2 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE2 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE2 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE2 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE2 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE2 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE2 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE2 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE2 = 501 THEN "College/University Student Housing"
IF GQTYPECODE2 = 601 THEN "Military Barrack"
IF GQTYPECODE2 = 602 THEN "Military Ship"
IF GQTYPECODE2 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE2 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE2 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE2 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE2 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE2 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE2 = 102 THEN "Prision Federal"
IF GQTYPECODE2 = 103 THEN "Prision Estatal"
IF GQTYPECODE2 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE2 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE2 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE2 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE2 = 202 THEN "Centro Residencial de Tratamiento para
Menores (no correccionales)"
IF GQTYPECODE2 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE2 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE2 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE2 = 402 THEN "Hospital con Pacientes que no Tienen una
Last Modified: Monday, December 6, 2021
Page 356 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Residencia Habitual en Otro Lugar"
IF GQTYPECODE2 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE2 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE2 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE2 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE2 = 601 THEN "Barraca Militar"
IF GQTYPECODE2 = 602 THEN "Buque Militar"
IF GQTYPECODE2 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE2 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE2 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE2 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE2 = 902 THEN "Alojamientos de Grupo Religiosos"
Fills: GQTYPECODE3_Fill
Instructions: IF GQTYPECODE3 = 101 THEN "Federal Detention Center"
IF GQTYPECODE3 = 102 THEN "Federal Prison"
IF GQTYPECODE3 = 103 THEN "State Prison"
IF GQTYPECODE3 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE3 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE3 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE3 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE3 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE3 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE3 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE3 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE3 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE3 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE3 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE3 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE3 = 501 THEN "College/University Student Housing"
IF GQTYPECODE3 = 601 THEN "Military Barrack"
IF GQTYPECODE3 = 602 THEN "Military Ship"
IF GQTYPECODE3 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE3 = 801 THEN "Group Home Intended for Adults"
Last Modified: Monday, December 6, 2021
Page 357 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE3 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE3 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE3 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE3 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE3 = 102 THEN "Prision Federal"
IF GQTYPECODE3 = 103 THEN "Prision Estatal"
IF GQTYPECODE3 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE3 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE3 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE3 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE3 = 202 THEN "Centro Residencial de Tratamiento para
Menores (no correccionales)"
IF GQTYPECODE3 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE3 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE3 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE3 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE3 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE3 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE3 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE3 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE3 = 601 THEN "Barraca Militar"
IF GQTYPECODE3 = 602 THEN "Buque Militar"
IF GQTYPECODE3 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE3 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE3 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE3 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE3 = 902 THEN "Alojamientos de Grupo Religiosos"
Type: String
Length: 100
x Don't Know
Last Modified: Monday, December 6, 2021
Page 358 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
x Refuse
x Empty
On Input
x On Output
Store Instructions: Fill in the blank. Allow 100 characters.
Array:
Skip Instructions: {EMPTY, NOT EMPTY, D, R} go to GQMAIN3
Last Modified: Monday, December 6, 2021
Page 359 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
GQMAIN3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype3.GQMAIN3
Description: Third GQ Category
Form Pane Label:
SAS Name: GQMAIN3
Tag Name: GQMAIN3
Inherited Universe:
Universe: TERGQNAME = {EMPTY, NOT EMPTY, D, R}
Universe Description:
Help Screen: F_GQMAIN
Question Text:
Special Place Name: ^SPNAME_Fill
Group Quarters name: ^GQNAME_Fill
^GQMAIN3_Fill
Spanish Question Text:
Nombre del Lugar Especial: ^SPNAME_Fill
Nombre del Alojamiento de Grupo: ^GQNAME_Fill
^GQMAIN3_Fill
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: SPNAME_Fill
Instructions: Special place name of the Group Quarters.
Last Modified: Monday, December 6, 2021
Page 360 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: GQMAIN3_Fill
Instructions: IF INITSCREEN = {3, 4} then display
Please tell me which is the category that best describes ^GQNAME3_Fill.
This type code must be different from the first type code.
The third GQ name must accurately describe only the GQ that reflects the
third type code.
IF INITSCREEN = {2, 6} then display
Please tell me which is the category that best describes ^GQNAME3_Fill.
Read the categories below. Give the contact person time to hear all the categories
and provide you with a selection.
This type code must be different from the first type code.
The third GQ name must accurately describe only the GQ that reflects the third type
code.
Spanish instructions: IF INITSCREEN = {3, 4} then display
Por favor, dígame cuál categoría describe mejor ^GQNAME 3_Fill.
Este código del tipo tiene que ser diferente de los códigos primarios y
secundarios del tipo.
El tercer nombre del GQ tiene que describir en forma exacta sólo el GQ que
refleja el tercer código del tipo.
IF INITSCREEN = {2, 6} then display
Por favor, dígame cuál categoría describe mejor ^GQNAME 3_Fill.
Lea las categorías que aparecen a continuación. Dele tiempo a la persona de
contacto para que oiga todas las categorías y le indique su selección.
Este código de tipo debe ser distinto del primer código de tipo.
El tercer nombre del GQ tiene que describir en forma exacta solo el GQ que
refleja el tercer código de tipo.
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Last Modified: Monday, December 6, 2021
Page 361 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TGQMAIN2.1
Value:
Mnemonic:
Description:
1
Educational Facility
2
Correctional Facility
3
Group Home
4
Health Care Treatment Facility
5
Military
6
Other Group Living Facilities
Spanish
Value:
Mnemonic:
Description:
1
Institución Educativa
2
Institución de Corrección
3
Hogar de Grupo
4
Facilidad para el Cuidado de la Salud o de Tratamiento
5
Militar
6
Otros Centros Residenciales para Grupos
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: IF INITSCREEN = {3, 4} then display Flashcard
IF INITSCREEN = {2, 6} then do not display Flashcard
Skip Instructions: {1} go to EDU_DD
{2} go to CORRECTIONAL_DD
{3} go to GROUPHOME_DD
{4} go to HEALTH_DD
{5} go to MILITARY_DD
{6} go to OGLF_DD
Last Modified: Monday, December 6, 2021
Page 362 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
EDU_DD
Field
BGQtype3.EDU_DD
Description: Education drill-down
Form Pane Label:
SAS Name: EDU_DD
Tag Name: EDU_DD
Inherited Universe:
Universe: GQMAIN3 = {1}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TEDU_DD
Value:
Mnemonic:
Description:
1
College/University Student Housing
2
Residential School for People with Disabilities
Spanish
Last Modified: Monday, December 6, 2021
Page 363 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Vivienda Estudiantil de Colegios/Universidades
2
Escuela Residencial para Personas con Impedimentos
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '501' AND set GQTypeDesc3 = 'COLLEGE/UNIVERSITY
STUDENT HOUSING'
{2} set GQTypeCode3 = '405' AND set GQTypeDesc3 = 'RESIDENTIAL SCHOOLS
FOR PEOPLE WITH DISABILITIES'
Skip Instructions: {1} go to COLLEGE
{2} go to MAXCAP3
Last Modified: Tuesday, December 7, 2021
Page 364 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
College
Field
BGQtype3.College
Description: College/University Student Housing
Form Pane Label:
SAS Name: College
Tag Name: College
Inherited Universe:
Universe: EDU_DD = {1} AND GQMAIN3 = {1}
Universe Description:
Question Text: Is ^GQNAME_Fill used primarily to provide housing for college students?
Spanish Question Text: ¿Es ^GQNAME_Fill usada primordialmente para proveer vivienda para
estudiantes universitarios?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
1
Mnemonic:
Description:
Yes
Last Modified: Tuesday, December 7, 2021
Page 365 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set GQTypeCode3 = '999' AND SET GQTypeDesc3 = 'empty'
Skip Instructions: {1} go to MAXCAP3
{2} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 366 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CORRECTIONAL_DD
Field
BGQtype3.CORRECTIONAL_DD
Description: Correctional drill-down
Form Pane Label:
SAS Name: CORRECTIONAL_DD
Tag Name: CORRECTIONAL_DD
Inherited Universe:
Universe: GQMAIN3 = {2}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TCORRECTIONAL_DD
Value:
Mnemonic:
Description:
1
Adult Correctional Residential Facility
2
Juvenile Correctional Facility
Spanish
Last Modified: Monday, December 6, 2021
Page 367 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Institución Residencial de Corrección para Adultos
2
Institución de Corrección para Jóvenes
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {2} set GQTypeCode3 = '203' AND set GQTypeDesc3 = 'CORRECTIONAL
FACILITIES INTENDED FOR JUVENILES'
Skip Instructions: {1} go to CF_DESC
{2} go to MAXCAP3
Last Modified: Monday, December 6, 2021
Page 368 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CF_DESC
Field
BGQtype3.CF_DESC
Description: Correctional Facility Type
Form Pane Label:
SAS Name: CF_DESC
Tag Name: CF_DESC
Inherited Universe:
Universe: CORRECTIONAL_DD = {1} AND GQMAIN3 = {2}
Universe Description:
Question Text: Which of the following categories describes ^GQNAME3_Fill?
If more than one category applies, mark the one with the most prisoners.
Spanish Question Text: ¿Cuál de las siguientes categorías describe fill in ^GQNAME3_Fill?
Si aplica más de una categoría, marque la que tenga más presos.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TCF_DESC
Last Modified: Monday, December 6, 2021
Page 369 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
State Prison/Privately Operated Facility housing mainly state prisoners
2
Local or County Jail/Privately Operated Facility housing mainly local or county
prisoners
3
Adult Residential Correctional Facility
4
Privately Operated Facility housing mainly federal prisoners
5
Federal Prison
6
Federal Detention Center
Spanish
Value:
Mnemonic:
1
Description:
Prisión estatal/Instalación de gestión privada donde están recluidos
principalmente prisioneros del estado
2
Cárcel local o del condado(if PR municipio)/Instalación de gestión
privada donde están recluidos principalmente prisioneros del
condado/municipio
3
Institución Residencial de Corrección para Adultos
4
Instalaciones de Corrección Operadas Privadamente (Federal)
5
Prisión Federal
6
Centro de Detención Federal
PR Spanish
Value:
Mnemonic:
Description:
2
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '103' AND set GQTypeDesc3 = 'STATE PRISON'
{2} set GQTypeCode3 = '104' AND set GQTypeDesc3 = 'LOCAL JAIL & OTHER
MUNICIPAL CONFINEMENT FACILITIES'
{3} set GQTypeCode3 = '105' AND set GQTypeDesc3 = 'CORRECTIONAL
RESIDENTIAL FACILITY'
{4} set GQTypeCode3 = '102' AND set GQTypeDesc3 = 'FEDERAL PRISON'
{5} set GQTypeCode3 = '102' AND set GQTypeDesc3 = 'FEDERAL PRISON'
{6} set GQTypeCode3 = '101' AND set GQTypeDesc3 = 'FEDERAL DETENTION
Last Modified: Monday, December 6, 2021
Page 370 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CENTER'
Skip Instructions: {1-4} go to MAXCAP3
{5} go to CF_DESC_SOFTCHK
{6} go to CF_DESC_SOFTCHK2
Last Modified: Monday, December 6, 2021
Page 371 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CF_DESC
Check
BGQtype3.HARD_CF_DESC
Description: GQ Type 3 is Federal Prison
Inherited Universe:
Universe: GQMAIN3 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {5}
Universe Description:
Text: You have attempted to collect GQ information for Federal Prison outside of the data
collection period for Federal Prisons. Please read the script below to the respondent
and continue with the interview.
Federal facilities are out of scope at this time of data collection. Is this GQ
another one of the categories on this card?
Spanish Text: Usted ha tratado de recopilar información sobre GQ de una instalación federal
(prisión o centro de detención) fuera del período de recopilación de datos para
instalaciones federales. Lea el texto a continuación y continúe con la entrevista de
GQ.
Las instalaciones federales están fuera de la muestra en este momento de la
recopilación de datos. ¿Pertenece ^GQNAME_Fill también a otra de las
categorías en la tarjeta?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: Suppress is off line
Type: Hard
Skip Instructions: {C, G} go to CF_DESC
Last Modified: Monday, December 6, 2021
Page 372 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Monday, December 6, 2021
Page 373 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CF_DESC2
Check
BGQtype3.HARD_CF_DESC2
Description: GQ Type 3 is Federal Detention Center
Inherited Universe:
Universe: GQMAIN3 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {6}
Universe Description:
Text: You have attempted to collect GQ information for Federal Prison outside of the data
collection period for Federal Prisons. Please read the script below to the respondent
and continue with the interview.
Federal facilities are out of scope at this time of data collection. Is this GQ
another one of the categories on this card?
Spanish Text: Usted ha tratado de recopilar información sobre GQ de una instalación federal
(prisión o centro de detención) fuera del período de recopilación de datos para
instalaciones federales. Lea el texto a continuación y continúe con la entrevista de
GQ.
Las instalaciones federales están fuera de la muestra en este momento de la
recopilación de datos. ¿Pertenece ^GQNAME_Fill también a otra de las
categorías en la tarjeta?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: Suppress is off line.
Type: Hard
Skip Instructions: {C, G} go to CF_DESC
Last Modified: Monday, December 6, 2021
Page 374 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Monday, December 6, 2021
Page 375 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
GROUPHOME_DD
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
BGQtype3.GROUPHOME_DD
Description: Group Home drill-down
Form Pane Label:
SAS Name: GROUPHOME_DD
Tag Name: GROUPHOME_DD
Inherited Universe:
Universe: GQMAIN3 = {3}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TGROUPHOME_DD
Value:
Mnemonic:
Description:
1
Adult Group Home
2
Juvenile Group Home
Spanish
Last Modified: Monday, December 6, 2021
Page 376 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Hogar de Grupo para Adultos
2
Hogar de Grupo para Jóvenes
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '801' AND set GQTypeDesc3 = 'GROUP HOMES
INTENDED FOR ADULTS (NON-CORRECTIONAL)'
{2} set GQTypeCode3 = '201' AND set GQTypeDesc3 = 'GROUP HOME FOR
JUVENILES (NON-CORRECTIONAL)'
Skip Instructions: {1, 2} go to MAXCAP3
Last Modified: Monday, December 6, 2021
Page 377 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HEALTH_DD
Field
BGQtype3.HEALTH_DD
Description: Health Facility drill-down
Form Pane Label:
SAS Name: HEALTH_DD
Tag Name: HEALTH_DD
Inherited Universe:
Universe: GQMAIN3 = {4}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: THEALTH_DD
Value:
Mnemonic:
Description:
1
Adult Residential Treatment Center (non-correctional)
2
Assisted Living, Independent Living or Continuing Care Facility
3
Nursing or Skilled Nursing Facility
4
In-Patient Hospice Facility
Last Modified: Monday, December 6, 2021
Page 378 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
5
Hospital
6
Juvenile Residential Treatment Center (non-correctional)
Spanish
Value:
Mnemonic:
Description:
1
Centro de Tratamiento Residencial para Adultos (no correccional)
2
Centro Residencial para Personas que Necesitan Ayuda o Centro de
Cuidado Continuo
3
Institución de Convalecencia
4
Hospicio
5
Hospital
6
Centro de Tratamiento Residencial para Jóvenes (no correccional)
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '802' AND set GQTypeDesc3 = 'RESIDENTIAL
TREATMENT CENTER FOR ADULTS (NON-CORRECTIONAL)'
{3} set GQTypeCode3 = '301' AND set GQTypeDesc3 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{4} set GQTypeCode3 = '403' AND set GQTypeDesc3 = 'IN-PATIENT HOSPICE
FACILITY'
{6} set GQTypeCode3 = '202' AND set GQTypeDesc3 = 'RESIDENTIAL
TREATMENT CENTERS FOR JUVENILES (NON-CORRECTIONAL)'
Skip Instructions: {1, 3, 4, 6} go to MAXCAP3
{2} go to ALF
{5} go to HOSP_DESC
Last Modified: Monday, December 6, 2021
Page 379 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ALF
Field
BGQtype3.ALF
Description: Assisted/Ind. Living
Form Pane Label:
SAS Name: ALF
Tag Name: ALF
Inherited Universe:
Universe: HEALTH_DD = {2} AND GQMAIN3 = {4}
Universe Description:
Question Text: Does ^GQNAME3_Fill have a skilled nursing unit or a nursing unit?
Spanish Question Text: ¿Tiene ^GQNAME3_Fill una unidad de convalecencia?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Last Modified: Monday, December 6, 2021
Page 380 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '301' AND set GQTypeDesc3
FACILITIES/SKILLED NURSING FACILITIES'
{2} set GQTypeCode3 = '999' AND set GQTypeDesc3 = 'empty'
=
'NURSING
Skip Instructions: {1} go to MAXCAP3
{2} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 381 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HOSP_DESC
Field
BGQtype3.HOSP_DESC
Description: Facility Provides Treatment
Form Pane Label:
SAS Name: HOSP_DESC
Tag Name: HOSP_DESC
Inherited Universe:
Universe: HEALTH_DD = {5} AND GQMAIN3 = {4}
Universe Description:
Question Text: Does ^GQNAME3_Fill provide treatment or care that includes:
If more than one category applies, enter the one with the most patients.
Spanish Question Text: Provee ^GQNAME3_Fill tratamiento o cuidado que incluye:
Si aplica más de una categoría, entre la que tenga más pacientes.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: THOSP_DESC
Last Modified: Monday, December 6, 2021
Page 382 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Mental/Psychiatric Hospital or Unit
2
Skilled Nursing Unit
3
Patients Who Have No Usual Home Elsewhere
4
None of the Above Apply to This Hospital
Spanish
Value:
Mnemonic:
Description:
1
Hospital o Unidad para Enfermos Mentales
2
Unidad de Convalecencia
3
Pacientes que No Tienen un Hogar Habitual en Otro Lugar
4
Ninguno de los Anteriores Aplica a Este Hospital
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '401' AND set GQTypeDesc3 = 'MENTAL (PSYCIATRIC)
HOSPITALS AND PSYCHIATRIC UNITS IN OTHER HOSPITALS'
{2} set GQTypeCode3 = '301' AND set GQTypeDesc3 = 'NURSING
FACILITIES/SKILLED NURSING FACILITIES'
{3} set GQTypeCode3 = '402' AND set GQTypeDesc3 = 'HOSPITALS WITH
PATIENTS WHO HAVE NO USUAL HOME ELSEWHERE'
{4} set GQTypeCode3 = '999' AND set GQTypeDesc3 = 'empty'
Skip Instructions: {1, 2} go to MAXCAP3
{3} go to UHE_COUNT
{4} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 383 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MILITARY_DD
Field
BGQtype3.MILITARY_DD
Description: Military Facility drill-down
Form Pane Label:
SAS Name: MILITARY_DD
Tag Name: MILITARY_DD
Inherited Universe:
Universe: GQMAIN3 = {5}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TMILITARY_DD
Value:
Mnemonic:
Description:
1
Barracks or Academy Residence Hall
2
Disciplinary Barracks or Jail
3
Ship
4
Military Treatment Facility with Assigned Patients
Last Modified: Monday, December 6, 2021
Page 384 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Barracas o Dormitorios de la Academia
2
Barracas Disciplinarias o Cárcel
3
Barco
4
Instalaciones Militares de Tratamiento Médico con Pacientes Asignados
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '601' AND set GQTypeDesc3 = 'MILITARY QUARTERS'
{2} set GQTypeCode3 = '106' AND set GQTypeDesc3 = 'MILITARY DISCIPLINARY
BARRACKS AND JAIL'
{3} set GQTypeCode3 = '602' AND set GQTypeDesc3 = 'MILITARY SHIP'
{4} set GQTypeCode3 = '404' AND set GQTypeDesc3 = 'MILITARY TREATMENT
FACILITIES WITH ASSIGNED PATIENTS'
Skip Instructions: {1-4} go to MAXCAP3
Last Modified: Monday, December 6, 2021
Page 385 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
OGLF_DD
Field
BGQtype3.OGLF_DD
Description: Other Facility Drill-down
Form Pane Label:
SAS Name: OGLF_DD
Tag Name: OGLF_DD
Inherited Universe:
Universe: GQMAIN3 = {6}
Universe Description:
Question Text:
Spanish Question Text:
Select category based on GQ contact's response.
Seleccione la categoría basándose en la respuesta de la persona de contacto del
GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TOGLF_DD
Value:
Mnemonic:
Description:
1
Commune, Recreational Vehicle Park, Campground, Marina, or Racetrack
2
Religious Facility
3
Hotel, Motel, Inn, Resort, Lodge, or Bed and Breakfast
4
Job Corps or Vocational Training Facility
Last Modified: Monday, December 6, 2021
Page 386 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
5
Shelter
6
Worker's Group Living Facility
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
1
Description:
Comuna, Parque para Vehículos Recreativos, Área de Acampar, Marina o
Pista de Carrera
2
Centro Religioso
3
Hotel, Motel, Posada, Casa de Campo o Alojamiento con Desayuno
4
Job Corps o Institución de Adiestramiento Vocacional
5
Refugio
6
Alojamientos de Grupo para Trabajadores
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '999' AND set GQTypeDesc3 = 'empty'
{2} set GQTypeCode3 = '902' AND set GQTypeDesc3 = 'RELIGIOUS GROUP
QUARTERS (CONVENTS, MONASTERIES, ABBEYS)'
{4, 6} set GQTypeCode3 = '901' AND set GQTypeDesc3 = 'WORKERS' GROUP
LIVING QUARTERS AND JOB CORPS CENTERS'
Skip Instructions: {1} go to PEOPLEATGQ
{2, 4, 6} go to MAXCAP3
{3} go to HOTEL_UHE
{5} go to DVS_DD
Last Modified: Monday, December 6, 2021
Page 387 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HOTEL_UHE
Field
BGQtype3.HOTEL_UHE
Description: Shelter for homeless
Form Pane Label:
SAS Name: HOTEL_UHE
Tag Name: HOTEL_UHE
Inherited Universe:
Universe: OGLF_DD = {3} AND GQMAIN3 = {6}
Universe Description:
Question Text: Does ^GQNAME3_Fill or part of ^GQNAME3_Fill provide shelter for people
experiencing homelessness?
Spanish Question Text: ¿Provee ^GQNAME3_Fill o parte de ^GQNAME3_Fill refugio para personas sin
hogar?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
Last Modified: Monday, December 6, 2021
Page 388 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
1
Yes
2
No
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '701' AND set GQTypeDesc3 = 'EMERGENCY AND
TRANSITIONAL SHELTERS (WITH SLEEPING FACILITIES) FOR PEOPLE
EXPERIENCING HOMELESSNESS'
{2} set GQTypeCode3 = '999' AND set GQTypeDesc3 = 'empty'
Skip Instructions: {1} go to UHE_COUNT
{2} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 389 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DVS_DD
Field
BGQtype3.DVS_DD
Description: Domestic Violence Shelter Screener Question
Form Pane Label:
SAS Name: DVS_DD
Tag Name: DVS_DD
Inherited Universe:
Universe: OGLF_DD = {5} AND GQMAIN3 = {6}
Universe Description:
Question Text: Domestic Violence Shelters are always out of scope for the
^American_PuertoRico_Fill.
Is this facility a Domestic Violence Shelter?
Spanish Question Text: Los Refugio para Víctimas de Violencia Doméstica están siempre fuera de la
muestra para la recopilación de datos de ^American_PuertoRico_Fill.
¿Es este lugar un Refugio para Víctimas de Violencia Doméstica?
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Last Modified: Monday, December 6, 2021
Page 390 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} set GQTypeCode3 = '703' AND set GQTypeDesc3 = 'DOMESTIC VIOLENCE
SHELTERS'
{2} set GQTypeCode3 = '701' AND set GQTypeDesc3 = 'EMERGENCY AND
TRANSITIONAL SHELTERS (WITH SLEEPING FACILITIES) FOR PEOPLE
EXPERIENCING HOMELESSNESS'
Skip Instructions: {1} go to PEOPLEATGQ
{2} go to MAXCAP3
Last Modified: Monday, December 6, 2021
Page 391 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
UHE_COUNT
Field
BGQtype3.UHE_COUNT
Description: UHE Capacity
Form Pane Label:
SAS Name: UHE_COUNT
Tag Name: UHE_COUNT
Inherited Universe:
Universe: (HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN3 = {4}) OR
(HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN3 = {6})
Universe Description:
Question Text: IF HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN3 = {4} THEN display
Fill #1
What is the maximum number of people who have no usual home elsewhere
who live or stay here?
IF HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN3 = {6} THEN display
Fill #2
What is the maximum number of people experiencing homelessness who can
live or stay in this building?
Spanish Question Text: IF HOSP_DESC = {3} AND HEALTH_DD = {5} AND GQMAIN3 = {4} THEN display
Fill #1
¿Cuál es el número máximo de personas que no tienen un hogar habitual en
otro lugar y que pueden vivir o quedarse aquí?
IF HOTEL_UHE = {1} AND OGLF_DD = {3} AND GQMAIN3 = {6} THEN display
Fill #2
¿Cuál es el número máximo de personas sin hogar que pueden vivir o
quedarse en este edificio?
PR English Question Text:
PR Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 392 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Integer
Length: 5
Min:
Max: 10000
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {NOT EMPTY, D, R} go to PEOPLEATGQ
Last Modified: Monday, December 6, 2021
Page 393 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP3
Field
BGQtype3.MAXCAP3
Description: Maximum Capacity
Form Pane Label:
SAS Name: MAXCAP3
Tag Name: MAXCAP3
Inherited Universe:
Universe: (GQMAIN3 = {1} AND EDU_DD = {2}) OR
(GQMAIN3 = {1} AND EDU_DD = {1} AND COLLEGE = {1}) OR
(GQMAIN3 = {2} AND CORRECTIONAL_DD = {2}) OR
(GQMAIN3 = {2} AND CORRECTIONAL_DD = {1} AND CF_DESC = {1-4}) OR
(GQMAIN3 = {3} AND GROUPHOME_DD = {1, 2}) OR
(GQMAIN3 = {4} AND HEALTH_DD = {1, 3, 4, 6}) OR
(GQMAIN3 = {4} AND HEALTH_DD = {2} AND ALF = {1}) OR
(GQMAIN3 = {4} AND HEALTH_DD = {5} AND HOSP_DESC = {1, 2}) OR
(GQMAIN3 = {5} AND MILITARY_DD = {1-4}) OR
(GQMAIN3 = {6} AND OGLF_DD = {2, 4, 6}) OR
(GQMAIN3 = {6} AND OGLF_DD = {5} AND DVS_DD = {2})
Universe Description:
Question Text: What is the maximum number of people who can live or stay at
^GQNAME3_Fill? Include only those people who are part of the
^GQTYPECODE3_Fill section of ^GQNAME3_Fill. Please ^STAFFINTS_Fill
include any staff living or staying at ^GQNAME3_Fill.
Spanish Question Text: ¿Cuál es el número máximo de personas que pueden vivir o quedarse en
^GQNAME3_Fill? Incluya sólo a las personas que forman parte de la sección
^GQTYPECODE3_Fill del ^GQNAME3_Fill. Por favor, ^STAFFINTS_Fill incluya
cualquier personal que viva o se quede en ^GQNAME3_Fill.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 394 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQNAME3_Fill
Instructions: Group Quarters name.
Fills: GQTYPECODE3_Fill
Instructions: IF GQTYPECODE3 = 101 THEN "Federal Detention Center"
IF GQTYPECODE3 = 102 THEN "Federal Prison"
IF GQTYPECODE3 = 103 THEN "State Prison"
IF GQTYPECODE3 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE3 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE3 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE3 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE3 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE3 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE3 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE3 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE3 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE3 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE3 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE3 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE3 = 501 THEN "College/University Student Housing"
IF GQTYPECODE3 = 601 THEN "Military Barrack"
IF GQTYPECODE3 = 602 THEN "Military Ship"
IF GQTYPECODE3 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE3 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE3 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE3 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE3 = 902 THEN "Religious Group Quarters"
Spanish instructions: IF GQTYPECODE3 = 101 THEN "Centro Federal de Detención"
IF GQTYPECODE3 = 102 THEN "Prision Federal"
IF GQTYPECODE3 = 103 THEN "Prision Estatal"
IF GQTYPECODE3 = 104 THEN "Cárcel Local y Otra Instalacion Municipal de
Reclusión"
IF GQTYPECODE3 = 105 THEN "Instalacion Correccional Residencial"
IF GQTYPECODE3 = 106 THEN "Barraca Disciplinaria y Cárcel Militar"
IF GQTYPECODE3 = 201 THEN "Hogar de Grupo para Menores (no
correccionales)"
IF GQTYPECODE3 = 202 THEN "Centro Residencial de Tratamiento para
Last Modified: Monday, December 6, 2021
Page 395 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Menores (no correccionales)"
IF GQTYPECODE3 = 203 THEN "Instalacion Correccional Destinada a Menores"
IF GQTYPECODE3 = 301 THEN "Hogar de Ancianos/Instalacion de Hogar de
Ancianos con Servicios Médicos Especializados"
IF GQTYPECODE3 = 401 THEN "Hospital Psiquiátrico y Unidad Psiquiátrica en
Otros Hospitales"
IF GQTYPECODE3 = 402 THEN "Hospital con Pacientes que no Tienen una
Residencia Habitual en Otro Lugar"
IF GQTYPECODE3 = 403 THEN "Instalacion para Pacientes Terminales
Ingresados"
IF GQTYPECODE3 = 404 THEN "Instalacion Militar de Tratamiento con
Pacientes Asignados"
IF GQTYPECODE3 = 405 THEN "Escuela Residencial para Personas con
Discapacidades"
IF GQTYPECODE3 = 501 THEN "Vivienda para Estudiantes Universitarios"
IF GQTYPECODE3 = 601 THEN "Barraca Militar"
IF GQTYPECODE3 = 602 THEN "Buque Militar"
IF GQTYPECODE3 = 701 THEN "Refugio de Emergencia (con Instalaciones para
Dormir) para Personas sin Hogar"
IF GQTYPECODE3 = 801 THEN "Hogar de Grupo Destinados a Adultos"
IF GQTYPECODE3 = 802 THEN "Centro Residencial de Tratamiento para
Adultos"
IF GQTYPECODE3 = 901 THEN "Alojamientos de Grupo para Trabajadores y
Centro de Job Corps"
IF GQTYPECODE3 = 902 THEN "Alojamientos de Grupo Religiosos"
Fills: STAFFINTS_Fill
Instructions: IF GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
403,404, or 405 THEN " DO NOT include"
IF GQTYPECODE1 = 501, 601, 602, 701, 702, 703, 801, 802, 900, 901, 902 THEN =
"include"
Spanish instructions: IF GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
403,404, or 405 THEN = " NO incluya"
IF GQTYPECODE1 = 501, 601, 602, 701, 702, 703, 801, 802, 900, 901, 902 THEN =
"incluya"
Type: Integer
Length: 5
Min:
Max: 15000
Last Modified: Monday, December 6, 2021
Page 396 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Special Instructions: Field Description
13 Identifying The GQ Type For Sampling
Special Instructions
You will need to use variable called C2K_TYPE to program this. C2K_TYPE can be
found on RT8500 of the SCIF. This section will determine behind the scenes which
area of the GQ the FR should sample if the GQ has more than 1 type code.
Then create a variable SampleGQName.
This all happens behind the scenes.
SECGQ = {2} set SampleGQName = GQNAME
In English this means that if the contact says there is only one GQ type at this GQ we
sample that one. Even if the GQ type is now different than type code collected in
Census 2000 (C2K_TYPE), we continue on to sampling and use GQNAME.
Go to PEOPLEATGQ.
SECGQ = {1} OR TERGQ = {1} AND GQTYPE1, GQTYPE2, GQTYPE3 <>
{C2KTYPE} then look at the maximum capacity variables and set the one with the
greatest maximum capacity to SampleGQName.
SECGQ = {1} AND GQTYPE2 = {C2K_TYPE} set SampleGQName = {GQNAME2}
In English this means that if the second GQ type identified matches what we collected
in Census 2000, then we use GQTYPE2 and GQNAME2. Go to PEOPLEATGQ.
TERGQ = {1} AND GQTYPE3 = {C2K_TYPE} set SampleGQName = {GQNAME3 }
Else if 11.6 = {1} and GQTYPE3 <> {C2KTYPE} set SampleGQName = {GQNAME2}
if GQTYPE2 = {C2K_TYPE}. Go to PEOPLEATGQ.
4.Else if TERGQ = {1} and GQTYPE3 <> {C2KTYPE}, then set SampleGQName =
{GQNAME1} if GQTYPE1 = {C2K_TYPE}. Go to PEOPLEATGQ.
NOTE: C2K_TYPE variable will be populated from the GQ type code found in record
type 2580. This is in place of changing C2K_TYPE in the spec.
Skip Instructions: {NOT EMPTY, D, R} go to PEOPLEATGQ
MAXCAP3 >= {10,000} go to MAXCAP3_SOFTCHK
GQTYPECODE3 = {GQTYPECODE1 OR GQTYPECODE2} go to HARDMAXCAP3
Last Modified: Monday, December 6, 2021
Page 397 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_MAXCAP3
Check
BGQtype3.HARD_MAXCAP3
Description: GQ Type for GQ3 must be different than GQ1 and GQ2
Inherited Universe:
Universe: GQTypeCode3 = {GQTypeCode1 OR GQTypeCode2}
Universe Description:
Text: The Third GQ type code ^GQTYPECODE3_Fill must be different from the First GQ
type code ^GQTYPECODE1_Fill and Second GQ Type Code ^GQTYPECODE2_Fill.
Please correct.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Spanish Text: El tercer código del tipo de GQ ^GQTYPECODE3_Fill tiene que ser diferente del
primer código del tipo de GQ ^GQTYPECODE1_Fill y el segunda código del tipo de
GQ ^GQTYPECODE2_Fill. Por favor, corríjalo.
Check Instructions: Suppress offline
Type: Hard
Skip Instructions: {C, G} go to MAXCAP3
Fills: GQTYPECODE3_Fill
Instructions: IF GQTYPECODE3 = 101 THEN "Federal Detention Center"
IF GQTYPECODE3 = 102 THEN "Federal Prison"
IF GQTYPECODE3 = 103 THEN "State Prison"
IF GQTYPECODE3 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE3 = 105 THEN "Correctional Residential Facility"
Last Modified: Monday, December 6, 2021
Page 398 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE3 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE3 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE3 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE3 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE3 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE3 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE3 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE3 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE3 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE3 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE3 = 501 THEN "College/University Student Housing"
IF GQTYPECODE3 = 601 THEN "Military Barrack"
IF GQTYPECODE3 = 602 THEN "Military Ship"
IF GQTYPECODE3 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE3 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE3 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE3 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE3 = 902 THEN "Religious Group Quarters"
Fills: GQTYPECODE1_Fill
Instructions: IF GQTYPECODE1 = 101 THEN "Federal Detention Center"
IF GQTYPECODE1 = 102 THEN "Federal Prison"
IF GQTYPECODE1 = 103 THEN "State Prison"
IF GQTYPECODE1 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE1 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE1 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE1 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE1 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE1 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE1 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE1 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE1 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE1 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE1 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE1 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE1 = 501 THEN "College/University Student Housing"
Last Modified: Monday, December 6, 2021
Page 399 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: BGQtype3
Blaise Item-Level Specifications Report
Spider Version 1.7.1
IF GQTYPECODE1 = 601 THEN "Military Barrack"
IF GQTYPECODE1 = 602 THEN "Military Ship"
IF GQTYPECODE1 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE1 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE1 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE1 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE1 = 902 THEN "Religious Group Quarters"
Fills: GQTYPECODE2_Fill
Instructions: IF GQTYPECODE2 = 101 THEN "Federal Detention Center"
IF GQTYPECODE2 = 102 THEN "Federal Prison"
IF GQTYPECODE2 = 103 THEN "State Prison"
IF GQTYPECODE2 = 104 THEN "Local Jail and Other Municipal Confinement
Facility"
IF GQTYPECODE2 = 105 THEN "Correctional Residential Facility"
IF GQTYPECODE2 = 106 THEN "Military Disciplinary Barrack and Jail"
IF GQTYPECODE2 = 201 THEN "Group Home for Juveniles (non-correctional)"
IF GQTYPECODE2 = 202 THEN "Residential Treatment Center for Juveniles
(non-correctional)"
IF GQTYPECODE2 = 203 THEN "Correctional Facility Intended for Juveniles"
IF GQTYPECODE2 = 301 THEN "Nursing Facility/Skilled-Nursing Facility"
IF GQTYPECODE2 = 401 THEN "Mental (Psychiatric) Hospital and Psychiatric
Unit in Other Hospitals"
IF GQTYPECODE2 = 402 THEN "Hospital with Patients Who Have No Usual
Home Elsewhere"
IF GQTYPECODE2 = 403 THEN "In-Patient Hospice Facility"
IF GQTYPECODE2 = 404 THEN "Military Treatment Facility with Assigned
Patients"
IF GQTYPECODE2 = 405 THEN "Residential School for People with Disabilities"
IF GQTYPECODE2 = 501 THEN "College/University Student Housing"
IF GQTYPECODE2 = 601 THEN "Military Barrack"
IF GQTYPECODE2 = 602 THEN "Military Ship"
IF GQTYPECODE2 = 701 THEN "Emergency and Transitional Shelter (with
Sleeping Facilities) for People Experiencing Homelessness"
IF GQTYPECODE2 = 801 THEN "Group Home Intended for Adults"
IF GQTYPECODE2 = 802 THEN "Residential Treatment Center for Adults"
IF GQTYPECODE2 = 901 THEN "Workers' Group Living Quarters and Job Corps
Center"
IF GQTYPECODE2 = 902 THEN "Religious Group Quarters"
Last Modified: Monday, December 6, 2021
Page 400 of 592
Survey: ACS GQ LI 2023
Section: BGQtype3
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
MAXCAP3_SOFTCHK
Check
BGQtype3.MAXCAP3_SOFTCHK
Description: Unusually large population
Inherited Universe:
Universe: MAXCAP3 >= {10,000}
Universe Description:
Text: This is an unusually large amount; are you sure?
Spanish Text: Ésta es una gran cantidad fuera de lo usual; ¿está seguro(a)?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Soft
Skip Instructions: {C, G} go to MAXCAP3
{S} go to PEOPLEATGQ
Last Modified: Wednesday, April 21, 2021
Page 401 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GQSample
Block
GQSample
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe: (PEAS_FL = '0' AND (InitScreen 2, 3, 4, 6, 7) )
OR
(
(WRONG_NUM <> ENTER) AND (CONDINTNOW <> No)
(GQType1.OUTOFSCOPE_TY <> Enter) and
(GQType1.CF_DESC <> FEDP) AND (GQType1.CF_DESC <> FEDD) AND
(GQType2.CF_DESC <> FEDP) AND (GQType2.CF_DESC <> FEDD) AND
(GQType3.CF_DESC <> FEDP) AND (GQType3.CF_DESC <> FEDD) )
AND
Universe Description:
Array:
Block Instructions:
Last Modified: Monday, December 6, 2021
Page 402 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PeopleAtGQ
Field
GQSample.PeopleAtGQ
Description: People living at GQ
Form Pane Label:
SAS Name: PEOPLEATGQ
Tag Name: PEOPLEATGQ
Inherited Universe:
Universe: (PEAS_FL = {1} AND STAY_NOW = {1} AND INITSCREEN = {2, 3, 4, 6} AND
GQMAIN1 = {1-6}) OR
(PEAS_FL = {0} AND INITSCREEN = {3, 4, 6})
Universe Description:
Question Text: We need to take a sample of the ^Resident_ResidentStaff of ^GQNAME_Fill to
determine who I should interview. To take the sample, I will now need a list of
all occupied beds as of TODAY. The list needs to include sufficient information
so that I can locate that person. For example: the resident's name, floor
number, room number, bed designation and telephone number. Can you
provide me with this type of list?
^Include_DontInclude any staff members living or staying at the GQ.
Do not include Held Beds.
Spanish Question Text: Necesitamos tomar una muestra de los ^Resident_ResidentStaff de
^GQNAME_Fill para determinar a quién yo debería entrevistar. Para tomar una
muestra, necesitaré hacer ahora una lista de todas las camas ocupadas al DIA
DE HOY. La lista necesita incluir suficiente información para que yo pueda
encontrar a esa persona. Por ejemplo: el nombre del residente, el número de
piso, el número de cuarto, la designación de cama y el número de teléfono.
¿Puede proveerme este tipo de lista?
^Include_DontInclude a cualquier miembro del personal que esté viviendo o
quedándose en el GQ.
No incluya Camas Reservadas.
PR English Question Text:
PR Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 403 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: Resident_ResidentStaff
Instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "residents", else display "residents and staff"
Spanish instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "residentes", else display "residentes y del
personal"
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: Include_DontInclude
Instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "DO NOT include", else display "Be sure to
include"
Spanish instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "NO incluya", else display "Asegúrese de incluir"
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
Last Modified: Monday, December 6, 2021
Page 404 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
On Input
x On Output
Array:
Skip Instructions: {1} AND INITSCREEN = {3, 4} go to CURRENTPOP
{1} AND INITSCREEN = {2, 6} go to LISTINGMETHOD_Tele
{2, R} go to ALLBEDS
Last Modified: Monday, December 6, 2021
Page 405 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ALLBEDS
Field
GQSample.ALLBEDS
Description: List of all beds availability
Form Pane Label:
SAS Name: ALLBEDS
Tag Name: ALLBEDS
Inherited Universe:
Universe: PEOPLEATGQ = {2, R}
Universe Description:
Question Text: Is there an up-to-date list of all beds at ^GQNAME_Fill?
^Include_DontInclude any staff members living or staying at the GQ.
Spanish Question Text: ¿Hay una lista actualizada de todas las camas en ^GQNAME_Fill?
^Include_DontInclude a cualquier miembro del personal que esté viviendo o
quedándose en el GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Fills: Include_DontInclude
Instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "DO NOT include", else display "Be sure to
Last Modified: Monday, December 6, 2021
Page 406 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
include"
Spanish instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "NO incluya", else display "Asegúrese de incluir"
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to CURRENTPOP
{2, R} go to CREATE_OCCBEDS
Last Modified: Monday, December 6, 2021
Page 407 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CREATE_OCCBEDS
Field
GQSample.CREATE_OCCBEDS
Description: List of occupied beds
Form Pane Label:
SAS Name: CREATE_OCCBEDS
Tag Name: CREATE_OCCBEDS
Inherited Universe:
Universe: ALLBEDS = {2, R}
Universe Description:
Question Text: Can you help me create a list of occupied beds?
^Include_DontInclude any staff members living of staying at the GQ.
Do not include Held Beds.
Spanish Question Text: ¿Puede ayudarme a preparar una lista de camas ocupadas?
^Include_DontInclude a cualquier miembro del personal que esté viviendo o
quedándose en el GQ.
No incluya Camas Reservadas.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: Include_DontInclude
Instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "DO NOT include", else display "Be sure to
include"
Spanish instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
Last Modified: Monday, December 6, 2021
Page 408 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
402,403,404, or 405, display "NO incluya", else display "Asegúrese de incluir"
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values
1 ,2, R
Array:
Skip Instructions: {1} go to CURRENTPOP
{2, R} go to CREATE_ALLBEDS
Last Modified: Monday, December 6, 2021
Page 409 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CREATE_ALLBEDS
Field
GQSample.CREATE_ALLBEDS
Description: List of all beds
Form Pane Label:
SAS Name: CREATE_ALLBEDS
Tag Name: CREATE_ALLBEDS
Inherited Universe:
Universe: CREATE_OCCBEDS = {2, R}
Universe Description:
Question Text: Can you help me create a list of all beds?
^Include_DontInclude any staff members living of staying at the GQ.
Spanish Question Text: ¿Puede ayudarme a preparar una lista de todas las camas?
^Include_DontInclude a cualquier miembro del personal que esté viviendo o
quedándose en el GQ.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: Include_DontInclude
Instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "DO NOT include", else display "Be sure to
include"
Spanish instructions: if GQTYPECODE1 = 101, 102, 103, 104, 105, 106, 201, 202, 203, 301, 401,
402,403,404, or 405, display "NO incluya", else display "Asegúrese de incluir"
Last Modified: Monday, December 6, 2021
Page 410 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TYES_NO
Value:
Mnemonic:
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values
1, 2, R
Array:
Skip Instructions: {1} go to CURRENTPOP
{2} go to eList_NoRoster
{R} go to INTSTAT
Last Modified: Monday, December 6, 2021
Page 411 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
LISTINGMETHOD_TELE
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
GQSample.LISTINGMETHOD_TELE
Description: Collecting Roster during Telephone Interview
Form Pane Label:
SAS Name: LISTINGMETHOD_TELE
Tag Name: LISTINGMETHOD_TELE
Inherited Universe:
Universe: PEOPLEATGQ = {1} AND INITSCREEN = {2, 6}
Universe Description:
Question Text: Would you like to provide a roster of your residents to me at this time, or would
you prefer to submit your roster through an online application?
If the contact selects the eList option, confirm that you have entered the correct
email address.
Inform the contact that you will send them an email containing a link to the eList
application and instructions on how to upload their roster.
Spanish Question Text: ¿Desea proporcionarme un listado de sus residentes ahora, o preferiría enviar
su listado mediante la solicitud por internet?
Si el contacto selecciona la opción de eList, confirme que usted haya ingresado la
dirección de correo electrónico correcta.
Infórmele al contacto que usted le enviará un correo electrónico con un enlace a la
solicitud de eList e instrucciones sobre cómo cargar el listado.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Last Modified: Monday, December 6, 2021
Page 412 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Length: 1
Answer List: TRosterCollectionMethod
Value:
Mnemonic:
Description:
1
Collect roster now
2
Collect roster online through eListing application
Spanish
Value:
Mnemonic:
Description:
1
Obtener el listado ahora
2
Obtener el listado mediante la aplicación eListing
PR English
Value:
Mnemonic:
Description:
Mnemonic:
Description:
Mnemonic:
Description:
1
2
PR Spanish
Value:
1
2
SS Spanish
Value:
1
2
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1, 2} go to CURRENTPOP
{R} go to INTSTAT
Last Modified: Monday, December 6, 2021
Page 413 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
eList_NoRoster
Field
GQSample.eList_NoRoster
Description: eListing if No Roster available
Form Pane Label:
SAS Name: LISTINGMETHOD
Tag Name: LISTINGMETHOD
Inherited Universe:
Universe: CREATE_ALLBEDS = {2}
Universe Description:
Question Text: Would you be able to provide a roster through an online application?
If the contact selects yes, confirm that you have entered the correct email address.
Inform the contact that you will send them an email containing a link to the eList
application and instructions on how to upload their roster.
Spanish Question Text: ¿Podría proporcionar un listado mediante una solicitud por internet?
Si el contacto selecciona la opción Sí, confirme que usted haya ingresado la
dirección de correo electrónico correcta.
Infórmele al contacto que usted le enviará un correo electrónico con un enlace a la
solicitud de eList e instrucciones sobre cómo cargar el listado.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TYES_NO
Last Modified: Monday, December 6, 2021
Page 414 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Yes
2
No
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No
Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to CURRENTPOP
{2} go to HARD_NoRoster
{R} go to INTSTAT
Last Modified: Monday, December 6, 2021
Page 415 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_NoRoster
Check
GQSample.HARD_NoRoster
Description: Can't create roster, contact RO
Inherited Universe:
Universe: eList_NoRoster = {2}
Universe Description:
Text: You cannot continue because you don't have a list to perform the sampling. End the
interview; Go to the F10 tab and select 2, then choose reason 7. Contact your RO for
further instructions.
Spanish Text: Usted no puede continuar porque no tienen una lista para realizar el muestreo.
Termine la entrevista; vaya a la pestaña F10 y seleccione 2, luego elija la razón 7.
Comuníquese con su RO para obtener más instrucciones.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: In questions involved window include PEOPLEATGQ and CREATE_ALLBEDS
Type: Hard
Skip Instructions: {C, G} eList_NoRoster
Last Modified: Monday, December 6, 2021
Page 416 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CURRENTPOP
Field
GQSample.CURRENTPOP
Description: Current GQ Population
Form Pane Label:
SAS Name: CURRENTPOP
Tag Name: CURRENTPOP
Inherited Universe:
Universe: (PEOPLEATGQ = {1} AND INITSCREEN = {3, 4}) OR
LISTINGMETHOD_Tele = {1, 2} OR
ALLBEDS = {1} OR
CREATE_OCCBEDS = {1} OR
CREATE_ALLBEDS = {1} OR
eList_NoRoster = {1} OR
INITSCREEN = {7} AND PEAS_FL = {1, 0}
Universe Description:
Question Text: What is the total number of ^ALL_OR_OCCUPIED_BEDS_Fill at this place?
IF INITSCREEN = {3, 4, 7} THEN display Fill #1
Be sure you have the register/list that you just received from or created with the GQ
contact person.
IF INITSCREEN = {2, 6} THEN display no Fill
Spanish Question Text: ¿Cuál es el número total de ^ALL_OR_OCCUPIED_BEDS_Fill en este lugar?
IF INITSCREEN = {3, 4, 7} THEN display Fill #1
Asegúrese de tener el registro/lista que ustede acaba de recibir de o crear con la
persona de contacto del GQ.
IF INITSCREEN = {2, 6} THEN display no Fill
PR English Question Text:
PR Spanish Question Text:
Last Modified: Monday, December 6, 2021
Page 417 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Fills: ALL_OR_OCCUPIED_BEDS_Fill
Instructions: If PEOPLEATGQ = 1 or CREATE_OCCBEDS = 1, then fill with "occupied beds".
If ALLBEDS = 1 or CREATE_ALLBEDS = 1, then fill with "all beds"
If INITSCREEN = 7 or eList_NoRoster = 1 then fill with "beds"
else then fill with "beds"
Spanish instructions: If PEOPLEATGQ = 1 or CREATE_OCCBEDS = 1, then fill with "camas
ocupadas".
If ALLBEDS = 1 or CREATE_ALLBEDS = 1, then fill with "todas las camas"
If INITSCREEN = 7 or eList_NoRoster = 1 then fill with "camas"
else then fill with "camas"
Type: Integer
Length: 15000
Min:
Max:
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: If interviewer back up over this question, the current pop, the sampling interval, and
the starting case number are to be wiped out and the current pop must be re-entered
by interviewer. Allow the current pop to be overwritten.
For Skip Instructions MAXPOP = MAXCAP1
Skip Instructions: {NOT EMPTY} go to CONFIRMATION
(PEAS_FL = {1} AND CURRENTPOP > {15,000}) OR (PEAS_FL = {0} AND
CURRENTPOP > {50,000}) go to HARDCURRENTPOP
CURRENTPOP > {MAXPOP} OR CURRENTPOP > {UHE_COUNT} go to
HARDCURRENTPOP2
CURRENTPOP >= {10,000} go to CURRENTPOP_SOFTCHK
Last Modified: Monday, December 6, 2021
Page 418 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CURRENTPOP
Check
GQSample.HARD_CURRENTPOP
Description: Population can not be greater than 15,000.
Inherited Universe:
Universe: CURRENTPOP > {15,000
Universe Description:
Text: Input invalid. Value not in range 1 to 15,000.
Spanish Text: Entrada no es válida. El valor no está entre 1 y 15,000.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {S} offline
{C, G} go to CURRENTPOP
Last Modified: Monday, December 6, 2021
Page 419 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CURRENTPOP2-A
Check
GQSample.HARD_CURRENTPOP2-A
Description: Current population is greater than max capacity, GQTypeCode3 = GQT
Inherited Universe:
Universe: (CURRENTPOP > {MAXPOP} AND GQTypeCode3 = {GQTYPE}) OR
CURRENTPOP > {UHE_COUNT}
Universe Description:
Text: You have entered a value for Current Pop that exceeds the amount of Maximum
Capacity specified at the GQ. Please correct.
Spanish Text: Ha entrado un número para Current Pop que excede el número de Capacidad
Máxima especificado en el GQ. Por favor, corríjalo.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: For Universe MAXPOP = MAXCAP3
Type: Hard
Skip Instructions: {C, G} go to CURRENTPOP
Last Modified: Monday, December 6, 2021
Page 420 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CURRENTPOP2-B
Check
GQSample.HARD_CURRENTPOP2-B
Description: Current population is greater than max capacity, GQTypeCode2 = GQT
Inherited Universe:
Universe: (CURRENTPOP > {MAXPOP} AND GQTypeCode2 = {GQTYPE}) OR
CURRENTPOP > {UHE_COUNT}
Universe Description:
Text: You have entered a value for Current Pop that exceeds the amount of Maximum
Capacity specified at the GQ. Please correct.
Spanish Text: Ha entrado un número para Current Pop que excede el número de Capacidad
Máxima especificado en el GQ. Por favor, corríjalo.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: For Universe MAXPOP = MAXCAP2
Type: Hard
Skip Instructions: {C, G} go to CURRENTPOP
Last Modified: Monday, December 6, 2021
Page 421 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CURRENTPOP2-C
Check
GQSample.HARD_CURRENTPOP2-C
Description: Current population is greater than max capacity, GQTypeCode1 = GQT
Inherited Universe:
Universe: (CURRENTPOP > {MAXPOP} AND GQTypeCode1 = {GQTYPE}) OR
CURRENTPOP > {UHE_COUNT}
Universe Description:
Text: You have entered a value for Current Pop that exceeds the amount of Maximum
Capacity specified at the GQ. Please correct.
Spanish Text: Ha entrado un número para Current Pop que excede el número de Capacidad
Máxima especificado en el GQ. Por favor, corríjalo.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions: For Universe MAXPOP = MAXCAP1
Type: Hard
Skip Instructions: {C, G} go to CURRENTPOP
Last Modified: Monday, December 6, 2021
Page 422 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CURRENTPOP_SOFTCHK
Check
GQSample.CURRENTPOP_SOFTCHK
Description: Unusually large population
Inherited Universe:
Universe: CURRENTPOP >= {10,000}
Universe Description:
Text: This is an unusually large amount; are you sure?
Spanish Text: Ésta es una gran cantidad fuera de lo usual; ¿está seguro(a)?
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Soft
Skip Instructions: {C, G} go to CURRENTPOP
{S} go to CONFIRMATION
Last Modified: Monday, December 6, 2021
Page 423 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
CONFIRMATION
Field
GQSample.CONFIRMATION
Description: Confirm total number enter
Form Pane Label:
SAS Name: CONFIRMATION
Tag Name: CONFIRMATION
Inherited Universe:
Universe: CURRENTPOP = {NOT EMPTY}
Universe Description:
Question Text:
Spanish Question Text:
You have entered that the total number of ^ALL_OR_OCCUPIED_BEDS_Fill is
^CURRENTPOP_Fill. Verify, using your list, that this number is accurate and then
re-enter the correct number.
Usted ha entrado que el número total de ^ALL_OR_OCCUPIED_BEDS_Fill es
^CURRENTPOP_Fill. Verifique, usando su lista, que este número es exacto y
entonces vuelva a entrar el número correcto.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: ALL_OR_OCCUPIED_BEDS_Fill
Instructions: If PEOPLEATGQ = 1 or CREATE_OCCBEDS = 1, then fill with "occupied beds".
If ALLBEDS = 1 or CREATE_ALLBEDS = 1, then fill with "all beds"
If INITSCREEN = 7 or eList_NoRoster = 1 then fill with "beds"
else then fill with "beds"
Spanish instructions: If PEOPLEATGQ = 1 or CREATE_OCCBEDS = 1, then fill with "camas
ocupadas".
If ALLBEDS = 1 or CREATE_ALLBEDS = 1, then fill with "todas las camas"
Last Modified: Monday, December 6, 2021
Page 424 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
If INITSCREEN = 7 or eList_NoRoster = 1 then fill with "camas"
else then fill with "camas"
Fills: CURRENTPOP_Fill
Instructions: Current Population.
Type: Integer
Length: 5
Min:
Max: 15000
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Numeric 1 - 15,000
Fill Instructions:
4. Fill 5 is the value from CONFIRMATION.
(Spanish)
Fill Instructions:
4. Fill 5 is the value from CONFIRMATION.
Array:
Special Instructions: CONFIRMATION <> {CURRENTPOP} go to HARDCONFIRMATION
Skip Instructions: VALUE = {CURRENTPOP} go to RI_BCT
VALUE <> {CURRENTPOP} go to HARDCONFIRMATION
Last Modified: Monday, December 6, 2021
Page 425 of 592
Survey: ACS GQ LI 2023
Section: GQSample
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
HARD_CONFIRMATION
Check
GQSample.HARD_CONFIRMATION
Description: Numbers for Confirmation and Current Population don't match
Inherited Universe:
Universe: CONFIRMATION <> {CURRENTPOP}
Universe Description:
Text: The number you entered in CURRENTPOP ^CURRENTPOP_Fill does not match the
number you entered in CONFIRMATION ^CONFIRMATION_Fill. Verify which one is
correct. Make sure that the CURRENTPOP entry equals the CONFIRMATION entry.
Spanish Text: El número que entró en CURRENTPOP ^CURRENTPOP_Fill no concuerda con el
número que entró en CONFIRMATION ^CONFIRMATION_Fill. Verifique cuál número
es el correcto. Asegúrese de que lo entrado en CURRENTPOP es igual a lo entrado
en CONFIRMATION.
PR English Text:
PR Spanish Text:
SS Spanish Text:
Check Instructions:
Type: Hard
Skip Instructions: {C, G} go to CONFIRMATION
Fills: CURRENTPOP_Fill
Instructions: Current Population.
Fills: CONFIRMATION_Fill
Instructions: = CONFIRMATION
Last Modified: Monday, December 6, 2021
Page 426 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
RI_BCT
Field
GQSample.RI_BCT
Description: Best day/time to contact
Form Pane Label:
SAS Name: RI_BCT
Tag Name: RI_BCT
Inherited Universe:
Universe: CONFIRMATION = {NOT EMPTY} OR
(SECGQ = {2} AND STAY_NOW = {2, R}) OR
(TerGQ = {2} AND STAY_NOW = {2, R})
Universe Description:
Question Text: Thank you for your help with the ^American_PuertoRico_Fill.
In order to evaluate the quality of my work, my supervisor may contact you to
verify that I am doing my job correctly. What is the best time to contact you?
Spanish Question Text: Gracias por su ayuda con la ^American_PuertoRico_Fill.
Para evaluar la calidad de mi trabajo, mi supervisor podría comunicarse con
usted para verificar que estoy haciendo mi trabajo correctamente. ¿Cuándo
sería mejor para comunicarse con usted? Mejor día / hora para
comunicarse:___________________
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: American_PuertoRico_Fill
Instructions: If PRFLAG = 1, display "PUERTO RICO COMMUNITY SURVEY (PRCS)", else
display "AMERICAN COMMUNITY SURVEY (ACS)"
Last Modified: Monday, December 6, 2021
Page 427 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish instructions: If PRFLAG = 1, display "ENCUESTA SOBRE LA COMUNIDAD DE PUERTO RICO
(PRCS)", else display "ENCUESTA SOBRE LA COMUNIDAD DE ESTADOS
UNIDOS (ACS)"
Type: String
Length: 20
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: Alphanumeric (allow 20 characters)
Array:
Skip Instructions: {NOT EMPTY, D, R} AND STAY_NOW = {1} go to GQCONTACTFINISH
{NOT EMPTY, D, R} AND STAY_NOW = {2, R} go to THANKYOU2
Last Modified: Monday, December 6, 2021
Page 428 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GQCONTACTFINISH
Field
GQSample.GQCONTACTFINISH
Description: Finished with GQ contact
Form Pane Label:
SAS Name: GQCONTACTFINISH
Tag Name: GQCONTACTFINISH
Inherited Universe:
Universe: RI_BCT = {NOT EMPTY, D, R} AND STAY_NOW = {1}
Universe Description:
Question Text: IF
INITSCREEN = {3, 4} AND PEOPLEATGQ = {1} OR
INITSCREEN = {7} OR
LISTINGMETHOD_TELE = {1} OR
ALLBEDS = {1} OR
CREATE_OCCBEDS = {1} OR
CREATE_ALLBEDS = {1} THEN Display
You are now finished getting the information you need from the GQ contact.
Let the GQ contact know that it will take a few minutes to take the sample.
Let the GQ contact know that you will need to meet with them once you are finished
sampling so they can help you find the people in sample to interview.
Ask the GQ contact if there is a room that you can sit in to finish the sampling.
IF
LISTINGMETHOD_TELE = {2} OR
eList_NoRoster = {1} THEN Display
You are now finished getting the information you need from the GQ contact.
After you send the email to the contact with the eListing link, they will upload their
roster.
The RO will contact you to provide the eList roster.
Once you have received the roster, select option '7' on INITSCREEN to confirm the
current population, and then enter the information for the selected residents.
Spanish Question Text: IF
INITSCREEN = {3, 4} AND PEOPLEATGQ = {1} OR
INITSCREEN = {7} OR
LISTINGMETHOD_TELE = {1} OR
ALLBEDS = {1} OR
CREATE_OCCBEDS = {1} OR
CREATE_ALLBEDS = {1} THEN Display
Usted ha terminado de obtener la información que necesita del contacto del GQ.
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Dígale al contacto del GQ que demorará unos cuantos minutos tomar la muestra.
Dígale al contacto del GQ que usted tendrá que reunirse con él/ella luego de
terminar el muestreo para que pueda ayudarle a encontrar a las personas de la
muestra para entrevistarlas.
Pregúntele al contacto del GQ si hay un cuarto donde usted se pueda sentar para
terminar el muestreo.
IF
LISTINGMETHOD_TELE = {2} OR
eList_NoRoster = {1} THEN Display
Usted ha terminado de obtener la información que necesita del contacto del GQ.
Luego de que usted le envíe el correo electrónico al contacto con el enlace a
eListing, la persona cargará su listado.
La RO se comunicará con usted para proporcionarle el listado de eList.
Una vez que usted haya recibido el listado, seleccione la opción '7' en
INITSCREEN para confirmar la población actual y luego ingrese la información de los
residentes seleccionados.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
1
Mnemonic:
Description:
Entre 1 para continuar
Last Modified: Monday, December 6, 2021
Page 430 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: {1} AND LISTINGMETHOD_Tele = {2} set OUTCOME = '804'
{1} AND eList_NoRoster = {1} set OUTCOME = '804'
Skip Instructions: {1} AND
(PEOPLEATGQ = {1} AND INITSCREEN = {3, 4}) OR
LISTINGMETHOD_Tele = {1} OR
ALLBEDS = {1} OR
CREATE_OCCBEDS = {1} OR
CREATE_ALLBEDS = {1}) go to TAKESAMPLE
{1} AND
(LISTINGMETHOD_Tele = {2} OR
eList_NoRoster = {1}) go to THANKYOU2
{1} AND INITSCREEN = {7} go to TAKESAMPLE
Last Modified: Monday, December 6, 2021
Page 431 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
TAKESAMPLE
Field
GQSample.TAKESAMPLE
Description: About to Take Sample
Form Pane Label:
SAS Name: TAKESAMPLE
Tag Name: TAKESAMPLE
Inherited Universe:
Universe: GQCONTACTFINISH = {1} AND
(ALLBEDS = {1} OR
CREATE_OCCBEDS = {1} OR
CREATE_ALLBEDS = {1} OR
LISTINGMETHOD_TELE = {1} OR
(PEOPLEATGQ = {1} AND INITSCREEN = {3, 4}) OR
INITSCREEN = {7})
Universe Description:
Question Text:
You need to have your register in front of you. You are about to draw the sample for
^GQNAME_Fill.
Reminders:
Be sure to ONLY include those people who are currently staying at the GQ.
For those GQs where you have determined there is a mix of housing units and
GQs, ONLY include those people currently staying in the sampled GQs.
Do not include Held Beds.
Spanish Question Text:
Necesita tener su registro delante de usted. Está a punto de tomar una muestra
para ^GQNAME_Fill.
Recordatorios:
Asegúrese de incluir SÓLO a esas personas que actualmente se están quedando
en el GQ.
Para esos GQ donde usted ha determinado que hay una mezcla de unidades de
viviendas y GQ, SÓLO incluya a esas personas que actualmente se están quedando
en el GQ en la muestra.
No incluya Camas Reservadas.
PR English Question Text:
Last Modified: Monday, December 6, 2021
Page 432 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1} go to SAMPROSTER, PHONENUM, and EXTENSION for each person
Last Modified: Monday, December 6, 2021
Page 433 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
SAMPROSTER, PHONENUM , and EXTENSION
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
GQSample.SAMPROSTER, PHONENUM , and EXTENSION
Description: Sample Roster for each person
Form Pane Label:
SAS Name: SAMPROSTER, PHONENUM , and EXTENSION
Tag Name: SAMPROSTER, PHONENUM , and EXTENSION
Inherited Universe:
Universe: TAKESAMPLE = {1}
Universe Description:
Question Text: Enter Name of person, bed, or room
Using your register and referring to the sample line number below, enter the room
#, bed #, floor # and/or sample person's name for each of the GQ residents that were
selected in the sample.
Spanish Question Text: Entre el Nombre de la persona, cama o cuarto
Usando su registro y refiriéndose al número de línea de la muestra a continuación,
entre el número de cuarto, número de cama, número de piso y/o el nombre de la
persona en la muestra para cada uno de los residentes del GQ que fue seleccionado
en la muestra.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: String
Length: 1
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: Sample line number (This column is prefilled and cannot be changed by the
interviewer)
Phone Number
Enter the telephone number for the sample person, room, or bed if you were able to
get a telephone number.
Phone Number extension
Enter the telephone number extension for the sampled person, room, or bed if one
exists. If phone number is blank, DK or R only accept blank.
ACS Control Number (This column is prefilled and cannot be changed by the
interviewer.
D, R or no answer are acceptable for Phone number and Phone Number extension. If
Phone number is blank, D or R, only accept no answer for Phone number extension.
1. Phone number - Display hard edit that reads "You must enter all 10 digits of the
contact person's phone number" if entry is less than 10 digits. Suppress is off line.
Close and Go to return to NEWCP1PHON.
2. Phone number - Display hard edit pop up box if 0 or 1 are the first digits of the area
code or prefix.
For the area code, the box should reads "the area code cannot begin with a '0' or a
'1'." Suppress is off line. Close and Goto return to PHONENUM.
(Spanish)
Número de lÃ-nea de la muestra (This column is prefilled and cannot be changed by
the interviewer.)
Número de teléfono Entre el número de teléfono para la persona, cuarto o
cama en la muestra si pudo conseguir un número de teléfono.
Extensión del número de teléfono Entre la extension del número de teléfono
para la persona, cuarto o cama en la muestra si existe. Si el número de teléfono
está en blanco, es DK o R, sólo acepte en blanco.
Last Modified: Monday, December 6, 2021
Page 435 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Número de Control de la ACS (This column is prefilled and cannot be changed by
the interviewer.)
D, R or no answer are acceptable for Phone number and Phone Number extension. If
Phone number is blank, D or R, only accept no answer for Phone number extension.
1. Phone number - Display hard edit that reads "Tiene que entrar todos los 10
dÃ-gitos del número de teléfono de la persona de contacto" if entry is less than 10
digits. Suppress is off line. Close and Goto return to NEWCP1PHON.
2. Phone number - Display hard edit pop up box if 0 or 1 are the first digits of the area
code or prefix.
For the area code, the box should reads "El código de área no puede comenzar
con un '0' ni con un '1'." Suppress is off line. Close and Goto return to PHONENUM.
Skip Instructions: {NOT EMPTY} go to COLLINDV
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
COLLINDV
Field
GQSample.COLLINDV
Description: Collection of individual data
Form Pane Label:
SAS Name: COLLINDV
Tag Name: COLLINDV
Inherited Universe:
Universe: SAMPROSTER = {NOT EMPTY}
Universe Description:
Question Text: IF INITSCREEN = {3, 4} THEN display Fill #1
You are now ready to conduct interviews with sample residents using your CAPI
instrument. You may need to distribute an ^ACS1GQ_ACS1GQPR_Fill questionnaire
for sample residents who are unable to complete a CAPI interview, therefore, in order
to save time at the GQ, please have a PAPI-level survey package containing the
^ACS1GQ_ACS1GQPR_Fill questionnaire available for each resident.
IF INITSCREEN = {2, 6, 7} then display Fill #2
You are now ready to conduct interviews with sample residents either by phone or
during a personal visit using your CAPI instrument. You may need to distribute an
^ACS1GQ_ACS1GQPR_Fill questionnaire for sample residents who are unable to
complete a CAPI interview, therefore, in order to save time at the GQ, please have a
PAPI-level survey package containing the ^ACS1GQ_ACS1GQPR_Fill questionnaire
available for each resident.
Spanish Question Text: IF INITSCREEN = {3, 4} THEN display Fill #1
Ahora está listo para llevar a cabo las entrevistas con los residentes en la muestra
utilizando el instrumento CAPI. Puede que tenga que distribuir un cuestionario
^ACS1GQ_ACS1GQPR_Fill para los residentes en la muestra que no puedan
completar una entrevista CAPI, por lo tanto, con el fin de ahorrar tiempo en el GQ,
por favor tenga un paquete de encuesta PAPI, el cual incluye el cuestionario
^ACS1GQ_ACS1GQPR_Fill, para cada residente.
IF INITSCREEN = {2, 6, 7} then display Fill #2
Ahora ya puede llevar a cabo las entrevistas con los residentes de la muestra por
teléfono o durante una visita en persona usando su instrumento CAPI. Es posible
que usted tenga que distribuir un cuestionario ^ACS1GQ_ACS1GQPR_Fill a los
residentes de la muestra que no puedan completar una entrevista CAPI; por lo tanto,
para ahorrar tiempo en el GQ, por favor, tenga disponible para cada residente un
paquete de la encuesta para nivel PAPI que contenga el cuestionario
^ACS1GQ_ACS1GQPR_Fill.
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Fills: ACS1GQ_ACS1GQPR_Fill
Instructions: If PRFLAG = 1, display "ACS-1(GQ)(PR)", else display "ACS-1(GQ)"
Spanish instructions: If PRFLAG = 1, display "ACS-1(GQ)(PR)", else display "ACS-1(GQ)"
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: INITSCREEN = {3, 4} AND PEAS_FL = {1} AND GeocodeCmplt = {1} set
STOREOUT = '801' AND set GeocodeReqd = '1'
INITSCREEN = {3, 4} AND PEAS_FL = {1} AND GeocodeCmplt = {0} set OUTCOME
= '807' AND set STOREOUT = '801' AND set GeocodeReqd = '1'
INITSCREEN = {3, 4} AND PEAS_FL = {0} set STOREOUT = '801'
INITSCREEN = {3, 4} THEN SET TEL_PV = Pers {1}
Last Modified: Monday, December 6, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQSample
Blaise Item-Level Specifications Report
Spider Version 1.7.1
INITSCREEN = {2, 6} THEN SET TEL_PV = TELE {2}
Skip Instructions: {1} EXIT INSTRUMENT
Last Modified: Friday, May 11, 2018
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Section: FAQ
FAQ
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
FAQ
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
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Section: FAQ
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PURPOSE
Field
FAQ.PURPOSE
Description: List of Frequently Asked Questions
Form Pane Label:
SAS Name: PURPOSE
Tag Name: PURPOSE
Inherited Universe:
Universe: IF (Shift + F2) OR
(mouse click = FAQ tab) OR
FAQ1 = {2} OR
FAQ2 = {2} OR
FAQ3 = {2} OR
FAQ4 = {2} OR
FAQ5 = {2} OR
FAQ6 = {2} OR
FAQ7 = {2} OR
FAQ8 = {2} OR
FAQ9 = {2} OR
FAQ10 = {2} OR
FAQ11 = {2} OR
FAQ12 = {2} OR
FAQ13 = {2}
Universe Description: List of Frequently Asked Questions
Question Text: ** FREQUENTLY ASKED QUESTIONS**
Spanish Question Text: ***PREGUNTAS FRECUENTES***
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 2
Answer List: TPURPOSE
Value:
Mnemonic:
Description:
1
What is the American Community Survey?
2
We have not heard of the American Community Survey. How long have you
been conducting it?
3
How can the group quarters and the residents see the results of the survey?
4
When will the results of the survey be available?
5
How does this group quarters and its residents benefit by answering the
American Community Survey?
6
Do the sampled group quarters and sampled residents have to answer the
questions on the American Community Survey?
7
Why did you select this facility and how did I get selected?
8
How will the Census Bureau use the information the group quarters and
sampled residents provide?
9
Will the Census Bureau keep the group quarter facility and resident information
confidential?
10
I am elderly, disabled, or otherwise unable to complete the American
Community Survey questionnaire. What do I do?
11
Do I have to answer these questions every year?
12
Why does the American Community Survey ask one question about race and
another question about Hispanic origin?
13
Where can the facility and its residents get assistance or find more information
about the American Community Survey?
14
Proceed with interview
Spanish
Value:
Mnemonic:
Description:
1
¿Qué es la Encuesta sobre la Comunidad Estadounidense?
2
No hemos oído hablar sobre la Encuesta sobre la Comunidad
Estadounidense. ¿Hace cuánto tiempo que la realizan?
3
¿Cómo pueden los alojamientos de grupo y los residentes ver los
resultados de la encuesta?
4
¿Cuándo estarán disponibles los resultados de la encuesta?
5
¿Cómo se benefician este alojamiento de grupo y sus residentes al
responder a la Encuesta sobre la Comunidad Estadounidense?
6
¿El alojamiento de grupo y los residentes del muestreo tienen que
Last Modified: Tuesday, December 7, 2021
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
contestar las preguntas de la Encuesta sobre la Comunidad
Estadounidense?
7
¿Por qué seleccionaron esta instalación y cómo me seleccionaron a mí?
8
¿Cómo usará la Oficina del Censo la información que proporcionen los
alojamientos de grupo y los residentes del muestreo?
9
¿Mantendrá la Oficina del Censo la confidencialidad de la información de
la instalación de alojamiento de grupo y de los residentes?
10
Soy una persona de la tercera edad, con discapacidades u otro problema
que me impide completar el cuestionario de la Encuesta sobre la
Comunidad Estadounidense. ¿Qué hago?
11
¿Tengo que contestar estas preguntas todos los años?
12
¿Por qué la Encuesta sobre la Comunidad Estadounidense hace una
pregunta sobre raza y otra sobre origen hispano?
13
¿Dónde pueden la instalación y sus residentes obtener ayuda o
encontrar más información acerca de la Encuesta sobre la Comunidad
Estadounidense?
14
Siga con la entrevista
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1 - 14
Array:
Special Instructions: If RT 8500 REMAK=1 and Mode=0, make option 5 inactive using a light color font and
add a hard error. Please note this is not needed for CATI or TQA.
CHECKS Associated with this Variable: HARDPURPOSE
Skip Instructions: {1} go to FAQ1
{2} go to FAQ2
{3} go to FAQ3
{4} go to FAQ4
{5} go to FAQ5
{6} go to FAQ6
{7} go to FAQ7
{8} go to FAQ8
{9} go to FAQ9
Last Modified: Tuesday, December 7, 2021
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
{10} go to FAQ10
{11} go to FAQ11
{12} go to FAQ12
{13} go to FAQ13
{14} return to interview at last question displayed
Last Modified: Thursday, June 2, 2022
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ1
Field
FAQ.FAQ1
Description: What is the American Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {1}
Universe Description:
Question Text: What is the American Community Survey?
The American Community Survey is a survey conducted by the U.S. Census
Bureau in every county, American Indian and Alaska Native Area, and Hawaiian
Home Land. It replaced the long form in the decennial census and greatly
simplified operations so that the focus of the decennial census is solely on
counting the population.
The American Community Survey provides current demographic, social,
economic, and housing characteristics every year. In the past, this information
was only available every 10 years when the decennial census was conducted.
Estimates from the American Community Survey help communities make
informed decisions and is key to their future.
The American Community Survey does not count the population, but it does
provide information that reflects what the population looks like and how it lives.
That information is vital for states and local communities in determining how to
plan for schools, roads, senior citizen centers, and other goods and services.
The U.S. Office of Management and Budget (OMB) approved this survey and
gave it OMB approval No. 0607-0810. Please use this number in any
correspondence concerning this survey. Respondents are not required to
respond to any information collection unless it displays a valid approval
number from OMB.
Spanish Question Text: ¿Qué es la Encuesta sobre la Comunidad Estadounidense?
La Encuesta sobre la Comunidad Estadounidense es una encuesta realizada
por la Oficina del Censo de los EE. UU. en todos los condados, Áreas de
Indígenas de las Américas y Nativos de Alaska, y Tierras Ancestrales
Hawaianas. Reemplazó el formulario largo en el censo decenal y simplificó de
Last Modified: Thursday, June 2, 2022
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
gran manera las operaciones de modo tal que el foco del censo decenal sea
solo contar a la población.
La Encuesta sobre la Comunidad Estadounidense proporciona características
demográficas, sociales, económicas y de vivienda actuales todos los años. En
el pasado, esta información estaba disponible solo cada 10 años, cuando se
realizaba el censo decenal. Las estimaciones de la Encuesta sobre la
Comunidad Estadounidense ayudan a las comunidades a tomar decisiones
informadas y son clave para su futuro.
La Encuesta sobre la Comunidad Estadounidense no cuenta a la población,
pero sí proporciona información que refleja la composición de la población y
cómo vive. Esa información es vital para los estados y las comunidades
locales para determinar cómo planificar escuelas, carreteras, centros para
personas de la tercera edad y otros bienes y servicios.
La Oficina de Administración y Presupuesto (OMB) de los EE. UU. aprobó esta
encuesta y le dio su número de aprobación de la OMB 0607-0810. Por favor,
use este número en cualquier correspondencia relacionada con esta encuesta.
Las personas encuestadas no están obligadas a responder a ninguna
recopilación de información a menos que se muestre un número de aprobación
válido de la OMB.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Last Modified: Thursday, June 2, 2022
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Attachment O - GQFQ Questionnaire
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ2
Field
FAQ.FAQ2
Description: We have not heard of the American Community Survey. How long have you been
conducting it?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {2}
Universe Description:
Question Text: We have not heard of the American Community Survey. How long have you been
conducting it?
The American Community Survey began in 1996 in a sample of counties across
the country. The American Community Survey began sampling group quarters
in 2006. Today, the survey is conducted in all U.S. counties, as well as in Puerto
Rico where it is called the Puerto Rico Community Survey.
Spanish Question Text: No hemos oído hablar sobre la Encuesta sobre la Comunidad Estadounidense.
¿Hace cuánto tiempo que la realizan?
La Encuesta sobre la Comunidad Estadounidense comenzó en 1996 con un
muestreo de condados de todo el país. La Encuesta sobre la Comunidad
Estadounidense comenzó a muestrear alojamientos de grupo en el 2006. Hoy la
encuesta se realiza en todos los condados de los EE. UU., y también en Puerto
Rico, donde se llama la Encuesta sobre la Comunidad de Puerto Rico.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ3
Field
FAQ.FAQ3
Description: How can the group quarters and the residents see the results of the survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {3}
Universe Description:
Question Text: How can the group quarters and the residents see the results of the survey?
This information is published on the Census Bureau's website at
data.census.gov.
Spanish Question Text: ¿Cómo pueden los alojamientos de grupo y los residentes ver los resultados de la
encuesta?
Esta información se publica en el sitio web de la Oficina del Censo
data.census.gov.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ4
Field
FAQ.FAQ4
Description: When will the results of the survey be available?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {4}
Universe Description:
Question Text: When will the results of the survey be available?
The previous years' results of the American Community Survey are released
every fall. Survey estimates are released each year for areas of 65,000 or more
people. For smaller areas, results are available in the form of 3-year and 5-year
estimates.
Spanish Question Text: ¿Cuándo estarán disponibles los resultados de la encuesta?
Los resultados de los años anteriores de la Encuesta sobre la Comunidad
Estadounidense se publican todos los otoños. Las estimaciones de la encuesta
se publican cada año para áreas de 65,000 personas o más. Para áreas más
pequeñas, los resultados están disponibles en forma de estimaciones de 3
años y de 5 años.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
FAQ5
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
FAQ.FAQ5
Description: How does this group quarters and its residents benefit by answering the American
Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {5}
Universe Description:
Question Text: How does this group quarters and its residents benefit by answering the American
Community Survey?
The American Community Survey provides up-to-date information for your
community. By responding to the American Community Survey you are helping
your community to establish goals, identify problems and solutions, and
measure the performance of programs. Communities need data about the
well-being of children, families, and the elderly to provide services to them.
These estimates are also used to decide where to locate new highways,
schools, libraries, hospitals, and community centers, and to determine the
goods and services its residents need.
Spanish Question Text: ¿Cómo se benefician este alojamiento de grupo y sus residentes al responder a la
Encuesta sobre la Comunidad Estadounidense?
La Encuesta sobre la Comunidad Estadounidense proporciona información
actualizada para su comunidad. Al responder a la Encuesta sobre la
Comunidad Estadounidense, usted está ayudando a su comunidad a establecer
objetivos, identificar problemas y soluciones, y medir el desempeño de los
programas. Las comunidades necesitan datos sobre el bienestar de los niños,
las familias y las personas de la tercera edad para proporcionarles servicios.
Estas estimaciones también se usan para decidir dónde ubicar nuevas
carreteras, escuelas, bibliotecas, hospitales y centros comunitarios, y para
determinar los bienes y servicios que los residentes necesitan.
PR English Question Text:
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ6
Field
FAQ.FAQ6
Description: Do the sampled group quarters and sampled residents have to answer the questions
on the American Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {6}
Universe Description:
Question Text: Do the sampled group quarters and sampled residents have to answer the questions
on the American Community Survey?
Yes. You are required by law to answer the American Community Survey. Two
provisions of Title 13, United States Code, require your participation. Section
221 of Title 13 makes it mandatory for individuals to participate in the American
Community Survey, and Section 223 of Title 13 makes it mandatory for building
owners and others to provide access to individuals in order to conduct the
American Community Survey group quarters interviews. The same law protects
the confidentiality of the information you provide. For more information about
Title 13, you may visit the Census Bureau's website at https://ask.census.gov
and select the topic: "American Community Survey: Must I respond?"
Spanish Question Text: ¿El alojamiento de grupo y los residentes del muestreo tienen que contestar las
preguntas de la Encuesta sobre la Comunidad Estadounidense?
Sí. La ley requiere que usted responda a la Encuesta sobre la Comunidad
Estadounidense. Dos disposiciones del Título 13 del Código de los Estados
Unidos requieren su participación. La Sección 221 del Título 13 establece que
es obligatorio que las personas participen en la Encuesta sobre la Comunidad
Estadounidense, y la Sección 223 del Título 13 establece que es obligatorio que
los dueños de edificios y otras personas proporcionen acceso a ciertos
individuos para que realicen las entrevistas de la Encuesta sobre la Comunidad
Estadounidense en alojamientos de grupo. La misma ley protege la
confidencialidad de la información que usted proporcione. Para obtener más
información sobre el Título 13, puede visitar el sitio web de la Oficina del Censo
en https://ask.census.gov y seleccionar el tema: "La Encuesta sobre la
Comunidad Estadounidense: ¿Tengo que responder?"
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ7
Field
FAQ.FAQ7
Description: Why did you select this facility and how did I get selected?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {7}
Universe Description:
Question Text: Why did you select this facility and how did I get selected?
This GQ was selected from a sample of all GQs in your area. The GQ and
individuals are randomly selected from this list each year, so we can not
substitute another GQ for this one. One of the advantages of a random sample
is that we can use it to measure the whole population without having to actually
interview every person at every GQ. But in order for it to work, we cannot
substitute sampled facilities or individuals - the sample has to be truly random.
Your participation is very important if we're going to be able to produce
accurate statistics from this survey.
Spanish Question Text: ¿Por qué seleccionaron esta instalación y cómo me seleccionaron a mí?
Este GQ se seleccionó de un muestreo de todos los GQ en su área. El GQ y los
individuos se seleccionan al azar de esta lista cada año, así que no podemos
reemplazar este GQ con otro. Una de las ventajas de un muestreo al azar es
que podemos usarlo para medir a toda la población sin tener que entrevistar a
cada persona en cada GQ. Pero para que funcione, no podemos reemplazar a
las instalaciones o individuos del muestreo - el muestreo tiene que
seleccionarse verdaderamente al azar. Su participación es muy importante para
que podamos producir estadísticas precisas de esta encuesta.
PR English Question Text:
PR Spanish Question Text:
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ8
Field
FAQ.FAQ8
Description: How will the Census Bureau use the information the group quarters and sampled
residents provide?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {8}
Universe Description:
Question Text: How will the Census Bureau use the information the group quarters and sampled
residents provide?
By law, the Census Bureau can only use your responses to produce statistics.
The Census Bureau is not permitted to publicly release your responses in a
way that could identify you. Per the Federal Cybersecurity Enhancement Act of
2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data. The Census Bureau will also use this
information to improve the American Community Survey, ultimately resulting in
even better data for your community and the nation.
Spanish Question Text: ¿Cómo usará la Oficina del Censo la información que proporcionen los alojamientos
de grupo y los residentes del muestreo?
Por ley, la Oficina del Censo puede usar sus respuestas solo para producir
estadísticas. A la Oficina del Censo no se le permite divulgar sus respuestas de
manera que usted pudiera ser identificado. Conforme a la Ley para el
Fortalecimiento de la Seguridad Cibernética Federal del 2015, sus datos están
protegidos contra los riesgos de seguridad cibernética mediante los controles
aplicados a los sistemas que los transmiten. La Oficina del Censo también
usará esta información para mejorar la Encuesta sobre la Comunidad
Estadounidense, lo que da como resultado mejores datos para su comunidad y
para el país.
PR English Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ9
Field
FAQ.FAQ9
Description: Will the Census Bureau keep the group quarter facility and resident information
confidential?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {9}
Universe Description:
Question Text: Will the Census Bureau keep the group quarter facility and resident information
confidential?
Yes. The U.S. Census Bureau is required by law to keep your information
confidential. The Census Bureau is not permitted to publicly release your
responses in a way that could identify you. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are protected from cybersecurity risks
through screening of the systems that transmit your data.
Spanish Question Text: ¿Mantendrá la Oficina del Censo la confidencialidad de la información de la
instalación de alojamiento de grupo y de los residentes?
Sí. La Oficina del Censo de los EE. UU. está obligada por ley a mantener
confidencial su información. A la Oficina del Censo no se le permite divulgar
sus respuestas de manera que usted pudiera ser identificado. Conforme a la
Ley para el Fortalecimiento de la Seguridad Cibernética Federal del 2015, sus
datos están protegidos contra los riesgos de seguridad cibernética mediante
los controles aplicados a los sistemas que los transmiten.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ10
Field
FAQ.FAQ10
Description: I am elderly, disabled, or otherwise unable to complete the American Community
Survey questionnaire. What do I do?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {10}
Universe Description:
Question Text: I am elderly, disabled, or otherwise unable to complete the American Community
Survey questionnaire. What do I do?
You may designate another person to help you or a Census Bureau
representative may call you or may come to your house and assist you in
completing the survey. Respondents may call 1-800-354-7271 for assistance. To
produce the most accurate results, it is very important that every person
selected for the survey participate.
Spanish Question Text: Soy una persona de la tercera edad, con discapacidades u otro problema que me
impide completar el cuestionario de la Encuesta sobre la Comunidad
Estadounidense. ¿Qué hago?
Usted puede designar a otra persona para que le ayude o un representante de
la Oficina del Censo le puede llamar o ir a su casa para ayudarle a completar la
encuesta. Las personas encuestadas pueden llamar al 1-800-354-7271 para
recibir asistencia. Para producir los resultados más precisos, es muy
importante que todas las personas que fueron seleccionadas para la encuesta
participen.
PR English Question Text:
PR Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ11
Field
FAQ.FAQ11
Description: Do I have to answer these questions every year?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {11}
Universe Description:
Question Text: Do I have to answer these questions every year?
No. Only a small sample of GQs is selected to participate in the American
Community Survey. These GQs are selected at random and represent other
GQs in the community. That is why it is so important that every sampled person
from these sampled GQs respond to the survey.
Spanish Question Text: ¿Tengo que contestar estas preguntas todos los años?
No. Solo una pequeña muestra de GQ es seleccionada para participar en la
Encuesta sobre la Comunidad Estadounidense. Estos GQ son seleccionados al
azar y representan a otros GQ en la comunidad. Por eso es tan importante que
todas las personas del muestreo de estos GQ muestreados respondan a la
encuesta.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
Last Modified: Tuesday, December 7, 2021
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Survey: ACS GQ LI 2023
Section: FAQ
FAQ12
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
FAQ.FAQ12
Description: Why does the American Community Survey ask one question about race and another
question about Hispanic origin?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {12}
Universe Description:
Question Text: Why does the American Community Survey ask one question about race and another
question about Hispanic origin?
Race and Hispanic origin (or ethnicity) are considered distinct concepts and,
therefore, require separate questions in censuses and surveys. Hispanics or
Latinos may be of any race. The Office of Management and Budget issues the
standards governing the collection of data on race and ethnicity and all federal
agencies, including the Census Bureau, must follow these standards.
Spanish Question Text: ¿Por qué la Encuesta sobre la Comunidad Estadounidense hace una pregunta sobre
raza y otra sobre origen hispano?
Raza y origen hispano (u origen étnico) se consideran conceptos distintos y,
por lo tanto, requieren preguntas por separado en censos y encuestas. Las
personas hispanas o latinas pueden ser de cualquier raza. La Oficina de
Administración y Presupuesto genera los estándares que regulan la
recopilación de datos sobre raza y origen étnico y todas las agencias federales,
incluyendo la Oficina del Censo, tienen que cumplir con estos estándares.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQ13
Field
FAQ.FAQ13
Description: Where can the facility and its residents get assistance or find more information about
the American Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE = {13}
Universe Description:
Question Text: Where can the facility and its residents get assistance or find more information about
the American Community Survey?
You can contact the Census Bureau's regional office nearest you as listed
below:
Census Bureau Regional Offices
Atlanta, GA 1-800-424-6974 (ext. 53955)
Chicago, IL 1-800-865-6384 (ext. 1)
Denver, CO 1-888-209-7659
Los Angeles, CA 1-800-992-3530 (ext. 1)
New York, NY 1-800-991-2520 (ext. 1)
Philadelphia, PA 1-866-238-1374
For more information about the American Community Survey, or to obtain
survey results from past years, we encourage you to visit our website at:
www.census.gov/acs
You may also contact us by calling 301-763-INFO (4636), or by visiting, or by
mail at the following address:
Paperwork Project
U.S. Census Bureau
4600 Silver Hill Road, ADDC-4H277
Washington, DC 20233-7500
Or you may e-mail comments to [email protected]. Use "Paperwork
Project" in the subject line.
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Spider Version 1.7.1
Spanish Question Text: ¿Dónde pueden la instalación y sus residentes obtener ayuda o encontrar más
información acerca de la Encuesta sobre la Comunidad Estadounidense?
Usted puede comunicarse con la oficina regional de la Oficina del Censo más
cercana a usted, de las que se indican a continuación:
Oficinas Regionales de la Oficina del Censo
Atlanta, GA 1-800-424-6974 (ext. 53955)
Chicago, IL 1-800-865-6384 (ext. 1)
Denver, CO 1-888-209-7659
Los Ángeles, CA 1-800-992-3530 (ext. 1)
New York, NY 1-800-991-2520 (ext. 1)
Filadelfia, PA 1-866-238-1374
Para obtener más información acerca de la Encuesta sobre la Comunidad
Estadounidense o para obtener resultados de la encuesta de años anteriores,
le alentamos a que visite nuestro sitio web en .
También se puede comunicar con nosotros llamando al 301-763-INFO (4636) o
visitando o por correo a la siguiente dirección:
Paperwork Project
U.S. Census Bureau
4600 Silver Hill Road, ADDC-4H277
Washington, DC 20233-7500
Usted puede enviar sus comentarios por correo electrónico a
[email protected]; use "Paperwork Project" como el tema.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE
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Section: FAQ
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PURPOSEPR
Field
FAQ.PURPOSEPR
Description: List of Puerto Rico Frequently Asked Questions
Form Pane Label:
SAS Name: PURPOSE_PR
Tag Name: PURPOSE_PR
Inherited Universe:
Universe: IF PR flag = {1} show PR FAQs tab
IF (Shift + F2) OR
(mouse click = FAQ tab) OR
PRCSFAQ1 = {2} OR
PRCSFAQ2 = {2} OR
PRCSFAQ3 = {2} OR
PRCSFAQ4 = {2} OR
PRCSFAQ5 = {2} OR
PRCSFAQ6 = {2} OR
PRCSFAQ7 = {2} OR
PRCSFAQ8 = {2}
Universe Description: List of Frequently Asked Questions
Question Text: ** FREQUENTLY ASKED QUESTIONS**
Spanish Question Text: ***PREGUNTAS FRECUENTES***
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TPURPOSE_PR
Value:
Mnemonic:
Description:
1
What is the Puerto Rico Community Survey?
2
Do the sampled group quarters and individuals have to answer the questions
on the Puerto Rico Community Survey?
3
Do I have to answer these questions every year?
4
Why did you select this group quarters facility and how did I get selected?
5
How do I benefit by answering the Puerto Rico Community Survey?
6
When will the results of the survey be available?
7
Will the Census Bureau keep my information confidential?
8
Where can I get assistance or find more information about the Puerto Rico
Community Survey?
Spanish
Value:
Mnemonic:
Description:
1
¿Qué es la Encuesta sobre la Comunidad de Puerto Rico?
2
¿Tienen los Alojamientos de Grupo (GQ) y las personas en la muestra
que contestar las preguntas que se hacen en la Encuesta sobre la
Comunidad de Puerto Rico?
3
¿Tengo que contestar estas preguntas cada año?
4
¿Por qué se seleccionó este GQ y cómo fui seleccionado?
5
¿De qué manera me beneficia el contestar las preguntas de la Encuesta
sobre la Comunidad de Puerto Rico?
6
¿Cuándo estarán disponibles los resultados de la encuesta?
7
¿Mantendrá la Oficina del Censo la información que proporciono
estrictamente confidencial?
8
¿Cómo puedo conseguir ayuda o más información acerca de la Encuesta
sobre la Comunidad de Puerto Rico?
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1-8
Array:
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Special Instructions: If RT 8500 REMAK=1 and Mode=0, make option 5 inactive using a light color font and
add a hard error. Please note this is not needed for CATI or TQA.
CHECKS Associated with this Variable: HARDPURPOSE
Skip Instructions: {1} go to PRCSFAQ1
{2} go to PRCSFAQ2
{3} go to PRCSFAQ3
{4} go to PRCSFAQ4
{5} go to PRCSFAQ5
{6} go to PRCSFAQ6
{7} go to PRCSFAQ7
{8} go to PRCSFAQ8
{9} return to interview at last question displayed
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ1
Field
FAQ.PRCSFAQ1
Description: What is the Puerto Rico Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {1}
Universe Description:
Question Text: What is the Puerto Rico Community Survey?
The Puerto Rico Community Survey is part of the decennial census program. It
is a survey that collects and produces statistical information about the current
social, economic, and housing characteristics of Puerto Rico. The Puerto Rico
Community Survey provides this information each year. Previously, this
information was available only once every 10 years when the U.S. Census
Bureau conducted the decennial census.
Spanish Question Text: ¿Qué es la Encuesta sobre la Comunidad de Puerto Rico?
La Encuesta sobre la Comunidad de Puerto Rico es parte del censo. Es una
encuesta que recopila y produce información estadística acerca de las
características sociales, económicas y de vivienda actuales de Puerto Rico. La
Encuesta sobre la Comunidad de Puerto Rico proporciona esta información
cada año. Previamente, esta información estaba disponible únicamente una vez
cada 10 años, cuando la Oficina del Censo de los Estados Unidos realizaba el
censo decenal.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
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Survey: ACS GQ LI 2023
Section: FAQ
PRCSFAQ2
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
FAQ.PRCSFAQ2
Description: Do the sampled group quarters and individuals have to answer the questions on the
Puerto Rico Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {2}
Universe Description:
Question Text: Do the sampled group quarters and individuals have to answer the questions on the
Puerto Rico Community Survey?
Yes. Your facility participation and your response to this survey is required by
law (Title 13, United States Code, Sections 141, 193, and 221). The Census
Bureau estimates the survey will take about 25 minutes to complete. Send
comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to: Paperwork
Reduction Project, U.S. Census Bureau, 4600 Silver Hill Road, ADDC-4H277,
Washington, DC 20233. You may e-mail comments to [email protected];
use "Paperwork Project" as the subject.
The U.S. Office of Management and Budget (OMB) approved this survey and
gave it OMB approval No. 0607-0810. Displaying this number shows that the
Census Bureau is authorized to conduct this survey. Please use this number in
any correspondence concerning this survey. Respondents are not required to
respond to any information collection unless it displays a valid approval
number from the OMB.
Spanish Question Text: ¿Tienen los Alojamientos de Grupo (GQ) y las personas en la muestra que contestar
las preguntas que se hacen en la Encuesta sobre la Comunidad de Puerto Rico?
Sí. La ley requiere la participación de su institución y su respuesta a esta
encuesta (secciones 141, 193 y 221 del título 13 del Código de los Estados
Unidos). La Oficina del Censo calcula que tomará aproximadamente 25 minutos
completar la encuesta. Envíe comentarios sobre el estimado de tiempo o
cualquier otro aspecto relacionado con la recopilación de esta información a:
Paperwork Reduction Project, U.S. Census Bureau, 4600 Silver Hill Road,
ADDC-4H277, Washington, DC 20233. Usted puede enviar sus comentarios por
correo electrónico a [email protected]; use "Paperwork Project" como el
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Spider Version 1.7.1
tema.
La Oficina de Administración y Presupuesto (OMB) de los Estados Unidos
aprobó esta encuesta y le asignó el número de aprobación de OMB Número
0607-0810. Al mostrar este número se indica que la Oficina del Censo está
autorizado para llevar a cabo esta encuesta. Por favor, use este número en
cualquier correspondencia relacionada con esta encuesta. No se requiere que
las personas respondan a ninguna recopilación de información a menos que
ésta tenga un número de aprobación válido de la Oficina de Administración y
Presupuesto (OMB).
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
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Section: FAQ
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
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Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ3
Field
FAQ.PRCSFAQ3
Description: Do I have to answer these questions every year?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {3}
Universe Description:
Question Text: Do I have to answer these questions every year?
A random sample of group quarters (GQ) facilities in Puerto Rico and a random
sample of the people staying at these sampled facilities are selected each year
to participate in the Puerto Rico Community Survey. You will not be asked to
complete the Puerto Rico Community Survey GQ questionnaire every year. You
will be asked to complete the survey information only when you are randomly
selected from all people staying at a sampled GQ. It is important that each
sampled person respond to this mandatory survey so that the Census Bureau
can produce characteristics about the GQ populations in your community and
in Puerto Rico each year.
Spanish Question Text: ¿Tengo que contestar estas preguntas cada año?
Cada año se selecciona una muestra al azar de las instalaciones de GQ en
Puerto Rico y una muestra al azar de las personas que se quedan en las
instalaciones seleccionadas para que participen en la Encuesta sobre la
Comunidad de Puerto Rico. No se le pedirá que complete el cuestionario de la
Encuesta sobre la Comunidad de Puerto Rico cada año. Se le pedirá que
complete la información de la encuesta sólo cuando sea seleccionado al azar
entre todas las personas que se quedan en el alojamiento de grupo
seleccionado. Es importante que cada persona en la muestra responda a esta
encuesta obligatoria para que la Oficina del Censo pueda producir
características de la población de los GQ en su comunidad y en Puerto Rico
cada año.
PR English Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ4
Field
FAQ.PRCSFAQ4
Description: Why did you select this group quarters facility and how did I get selected?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {4}
Universe Description:
Question Text: Why did you select this group quarters facility, and how did I get selected?
This GQ was selected from a sample of all GQs in your area. The GQ and
individuals are randomly selected from this list each year, so we can not
substitute another GQ for this one. One of the advantages of a random sample
is that we can use it to measure the whole population without having to actually
interview every person at every GQ. But in order for it to work, we cannot
substitute sampled facilities or individuals - the sample has to be truly random.
Your participation is very important if we're going to be able to produce
accurate statistics from this survey.
Spanish Question Text: ¿Por qué seleccionó este GQ y cómo fui seleccionado?
Este GQ fue seleccionado de una muestra de todos los GQ en su área. Los GQ
y las personas se seleccionan al azar cada año de esta lista. Por esta razón no
podemos sustituir otro GQ por éste. Una de las ventajas de una selección al
azar es que podemos usarla para medir toda la población sin tener que
entrevistar a cada persona en cada GQ. Para que esto funcione, no podemos
sustituir instalaciones o a individuos en la muestra; la muestra tiene que ser
verdaderamente al azar. Su participación es muy importante si vamos a
producir estadísticas precisas de esta encuesta.
PR English Question Text:
PR Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ5
Field
FAQ.PRCSFAQ5
Description: How do I benefit by answering the Puerto Rico Community Survey?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {5}
Universe Description:
Question Text: How do I benefit by answering the Puerto Rico Community Survey?
Federal agencies and communities in Puerto Rico say that they do not have the
up-to-date information they need to better understand community issues,
respond to needs, and allocate programs and resources. As one community
leader stated, "Guessing is always fun, but seldom effective."
By responding to the Puerto Rico Community Survey questionnaire, you are
helping your community establish community goals, identify community
problems and solutions, locate facilities and programs, and measure the
performance of programs.
The Puerto Rico Community Survey estimates are used by:
Local governments for budgeting, evaluating programs, and planning for
community development projects.
Community programs, such as those for the elderly, scouts, libraries, banks,
hospitals, and other community organizations, to provide services to the
community and to locate buildings, services, and programs.
Transportation planners who use journey-to-work information when deciding
to build new roads or add capacity to existing roads; and to develop transit
systems, such as light rail or subways, by projecting future ridership.
Spanish Question Text: ¿De qué manera me beneficia el contestar las preguntas de la Encuesta sobre la
Comunidad de Puerto Rico?
Las agencias federales, Puerto Rico y las comunidades indican que no tienen
la información actualizada que necesitan para entender mejor los asuntos
comunitarios, responder a las necesidades y asignar programas y recursos.
Como indicó un líder comunitario, "adivinar es divertido, pero rara vez
efectivo".
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Al contestar el cuestionario de la Encuesta sobre la Comunidad de Puerto Rico,
usted está ayudando a su comunidad a establecer metas para la comunidad,
identificar problemas de la comunidad y soluciones, establecer instalaciones y
programas y evaluar el funcionamiento de programas. Los estimados de la
Encuesta sobre la Comunidad de Puerto Rico los usan:
Gobiernos locales para preparar presupuestos, evaluar programas y planificar
proyectos de desarrollo comunitario.
Programas comunitarios, tales como para las personas de edad avanzada,
para niños y niñas escuchas, bibliotecas, bancos, hospitales, y otras
organizaciones comunitarias para proveer servicios a la comunidad y para
planificar o establecer edificios, servicios y programas.
Planificadores de transportación usan la información sobre viaje al trabajo
para proyectar el número de pasajeros y así tomar decisiones de construir
nuevas carreteras o ensanchar carreteras existentes, y para desarrollar
sistemas de tránsito, tales como trenes livianos o subterráneos.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ6
Field
FAQ.PRCSFAQ6
Description: When will the results of the survey be available?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {6}
Universe Description:
Question Text: When will the results of the survey be available?
The previous years' results of the Puerto Rico Community Survey are released
every Fall. Survey estimates are released each year for areas of 65,000 or more
people. For smaller areas, results are available in the form of 3-year and 5-year
estimates.
Spanish Question Text: ¿Cuándo estarán disponibles los resultados de la encuesta?
Los resultados del año anterior de la Encuesta sobre la Comunidad de Puerto
Rico se publican cada año entre agosto y noviembre. Los estimados de la
encuesta se publican cada año para áreas con 65,000 personas o más. Para
áreas más pequeñas, los resultados están disponibles en forma de estimados
de 3 años y de 5 años.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ7
Field
FAQ.PRCSFAQ7
Description: Will the Census Bureau keep my information confidential?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {7}
Universe Description:
Question Text: Will the Census Bureau keep my information confidential?
Yes. Your answers are confidential by law under Title 13, United States Code,
Section 9. This law specifies that the Census Bureau can use the information
provided by the facility and residents for statistical purposes only and cannot
publish or release information that would identify any group quarters or
individual.
Spanish Question Text: ¿Mantendrá la Oficina del Censo la información que proporciono estrictamente
confidencial?
Sí. La sección 9 del título 13 del Código de los Estados Unidos estipula que sus
respuestas son confidenciales. Esta ley especifica que la Oficina del Censo
puede usar la información provista por la facilidad y los residentes para
propósitos estadísticos solamente no puede publicar o divulgar información
que pueda identificar algún alojamiento de grupo o individuo.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSE_PR
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PRCSFAQ8
Field
FAQ.PRCSFAQ8
Description: Where can I find more information about the Puerto Rico Community Survey or get
assistance?
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: PURPOSE_PR = {8}
Universe Description:
Question Text: Where can I get assistance or find more information about the Puerto Rico
Community Survey?
For questions or assistance with completing this survey, telephone the Census
Bureau's New York Regional Office at 1-800-991-2520 (ext.1).
For more information about the Puerto Rico Community Survey, we encourage
you to visit our website at:
census.gov/acs
or contact us by mail at the following address:
American Community Survey
U.S. Census Bureau
4600 Silver Hill Road
Washington, DC 20233-7500
Spanish Question Text: ¿Cómo puedo conseguir ayuda o más información acerca de la Encuesta sobre la
Comunidad de Puerto Rico?
Para preguntas o pedir ayuda para completar esta encuesta, llame por teléfono
a la Oficina Regional de la Oficina del Censo en New York al 1-800-991-2520
(ext.1).
Para obtener más información acerca de la Encuesta sobre la Comunidad de
Puerto Rico, le exhortamos a que visite nuestra página en la Internet en:
census.gov/acs
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
o, comuníquese por correo con nosotros a la siguiente dirección:
American Community Survey
U.S. Census Bureau
4600 Silver Hill Road
Washington, DC 20233-7500
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQ
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
{2} go to PURPOSE_PR
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PURPOSEC
Field
FAQ.PURPOSEC
Description: List of Census 2020 Frequently Asked Questions
Form Pane Label:
SAS Name: PURPOSEC
Tag Name: PURPOSEC
Inherited Universe:
Universe: IF (mouse click = Census 2020 FAQ tab) OR
FAQC1 = {2} OR
FAQC2 = {2} OR
FAQC3 = {2} OR
FAQC4 = {2} OR
FAQC5 = {2} OR
FAQC6 = {2}
Universe Description: List of Census 2020 Frequently Asked Questions
Question Text: **FREQUENTLY ASKED QUESTIONS**
Spanish Question Text: ***PREGUNTAS FRECUENTES***
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TPURPOSEC
Value:
Mnemonic:
Description:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
1
Will the American Community Survey be conducted during the 2020 Census?
2
Why was I contacted for both the 2020 Census and the American Community
Survey?
3
Do I have to respond to the 2020 Census and the American Community
Survey?
4
Why can't you take my answers from the 2020 Census for the American
Community Survey or vice versa?
5
Can you take my 2020 Census information also?
6
Return to Interview
Spanish
Value:
Mnemonic:
Description:
1
¿Se llevará a cabo la Encuesta sobre la Comunidad Estadounidense
durante el Censo del 2020?
2
¿Por qué recibí un cuestionario para el Censo y un cuestionario para la
Encuesta sobre la Comunidad Estadounidense?
3
¿Tengo que responder al Censo del 2020 y a la Encuesta sobre la
Comunidad Estadounidense?
4
¿Por qué ustedes no pueden tomar mis respuestas del Censo del 2020
para la Encuesta de la Comunidad Estadounidense, o viceversa?
5
¿Puede usted tomar también mi información el Censo del 2020?
6
Regresar a la entrevista
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1-6
Array:
Skip Instructions: {1} go to FAQC1
{2} go to FAQC2
{3} go to FAQC3
{4} go to FAQC4
{5} go to FAQC5
{6} return to interview at last question displayed
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQC1
Field
FAQ.FAQC1
Description: ACS during 2020 Census?
Form Pane Label:
SAS Name: PURPOSEC1
Tag Name: PURPOSEC1
Inherited Universe:
Universe: PURPOSEC = {1}
Universe Description: ACS during 2020 Census?
Question Text: WILL THE AMERICAN COMMUNITY SURVEY BE CONDUCTED DURING THE
2020 CENSUS?
Yes, the American Community Survey will be conducted throughout 2020. The
American Community Survey is an ongoing survey that collects detailed
population and housing information from a sample of households and group
quarters (GQ) facilities each month. If you receive both the American
Community Survey and the 2020 Census this year, you need to respond to
both.
Spanish Question Text: ¿Se llevará a cabo la Encuesta sobre la Comunidad Estadounidense durante el
Censo del 2020?
Sí, la Encuesta sobre la Comunidad Estadounidense (ACS, por sus siglas en
inglés) se realizará durante el 2020. La Encuesta sobre la Comunidad
Estadounidense es una encuesta continua que recopila información detallada
sobre población y vivienda de una muestra de hogares e instalaciones de
alojamientos de grupo (GQ, por sus siglas en inglés) cada mes. Si este año
usted recibe tanto la Encuesta sobre la Comunidad Estadounidense como el
Censo del 2020, necesita responder a ambos.
PR English Question Text:
PR Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQC
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to Census 2020 FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes sobre el Censo del 2020
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1, 2
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSEC
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQC2
Field
FAQ.FAQC2
Description: Contacted for both?
Form Pane Label:
SAS Name: PURPOSEC2
Tag Name: PURPOSEC2
Inherited Universe:
Universe: PURPOSEC = {2}
Universe Description: Why did I receive the ACS and 2020 Census?
Question Text: WHY WAS I CONTACTED FOR BOTH THE 2020 CENSUS AND THE AMERICAN
COMMUITY SURVEY?
Every household, as well as every resident of group quarters (such as college
and university student housing, nursing facilities, military quarters, group
homes, correctional facilities), will receive the 2020 Census so that we can
provide an official count of the entire U.S. population to Congress.
Some addresses and group quarters facilities, including yours, will also receive
the American Community Survey this year. The American Community Survey
asks questions about topics not on the census, such as education,
employment, and transportation, and provides communities with up-to-date
information every year.
Your responses to both the 2020 Census and the American Community Survey
will help your community get its fair share of federal funding. Your response to
both is also required by law.
Spanish Question Text: ¿Por qué recibí un cuestionario para el Censo y un cuestionario para la Encuesta
sobre la Comunidad Estadounidense?
Todos los hogares, así como todos los residentes de alojamientos de grupo
(tales como viviendas universitarias, instalaciones de enfermería, viviendas
militares, hogares de grupo, instalaciones correccionales), recibirán el Censo
del 2020 para que podamos proporcionar al Congreso un recuento oficial de
toda la población de los EE. UU.
Algunas direcciones e instalaciones de alojamientos de grupo, incluida la suya,
también recibirán la Encuesta sobre la Comunidad Estadounidense este año.
La Encuesta sobre la Comunidad Estadounidense hace preguntas sobre temas
que no aparecen en el censo, como la educación, el empleo y el transporte, y
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
todos los años proporciona información actualizada a las comunidades.
Sus respuestas tanto al Censo del 2020 como a la Encuesta sobre la
Comunidad Estadounidense ayudarán a que su comunidad reciba la parte que
le corresponde de los fondos federales. Su respuesta a ambos también es
requerida por la ley.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQC
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to Census 2020 FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes sobre el Censo del 2020
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1, 2
Array:
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Survey: ACS GQ LI 2023
Section: FAQ
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSEC
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQC3
Field
FAQ.FAQC3
Description: Respond to ACS and 2020 Census?
Form Pane Label:
SAS Name: PURPOSEC3
Tag Name: PURPOSEC3
Inherited Universe:
Universe: PURPOSEC = {3}
Universe Description: Do I have to respond to ACS and 2020 Census?
Question Text: DO I HAVE TO RESPOND TO THE 2020 CENSUS AND THE AMERICAN
COMMUNITY SURVEY?
Yes, you are required by law to respond to both the American Community
Survey and the 2020 Census. Your responses will help your community get its
fair share of federal funding. The data can help leaders make planning
decisions about education, transportation, senior services, and more.
Spanish Question Text: ¿Tengo que responder al Censo del 2020 y a la Encuesta sobre la Comunidad
Estadounidense?
Sí, la ley requiere que usted responda tanto a la Encuesta sobre la Comunidad
Estadounidense como al Censo del 2020. Sus respuestas ayudarán a que su
comunidad reciba la parte que le corresponde de los fondos federales. Los
datos pueden ayudar a los líderes a tomar decisiones de planificación sobre
educación, transporte, servicios para personas de la tercera edad y más.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TFAQC
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to Census 2020 FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes sobre el Censo del 2020
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1, 2
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSEC
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQC4
Field
FAQ.FAQC4
Description: Use 2020 Census answers for ACS?
Form Pane Label:
SAS Name: PURPOSEC4
Tag Name: PURPOSEC4
Inherited Universe:
Universe: PURPOSEC = {4}
Universe Description: Use my 2020 Census Answers for ACS?
Question Text: CAN YOU USE MY 2020 CENSUS ANSWERS FOR THE AMERICAN COMMUNITY
SURVEY?
No, your answers to the 2020 Census cannot be used for the American
Community Survey. The American Community Survey asks questions about
topics not on the 2020 Census, such as education, employment, health
insurance, and transportation.
Spanish Question Text: ¿Por qué ustedes no pueden tomar mis respuestas del Censo del 2020 para la
Encuesta de la Comunidad Estadounidense, o viceversa?
No, sus respuestas al Censo del 2020 no pueden usarse para la Encuesta sobre
la Comunidad Estadounidense. La Encuesta sobre la Comunidad
Estadounidense hace preguntas sobre temas que no aparecen en el Censo del
2020, tales como educación, empleo, seguro de salud y transporte.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Length: 1
Answer List: TFAQC
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to Census 2020 FAQ list
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes sobre el Censo del 2020
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1, 2
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSEC
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FAQC5
Field
FAQ.FAQC5
Description: Take my 2020 Census info.also?
Form Pane Label:
SAS Name: PURPOSEC5
Tag Name: PURPOSEC5
Inherited Universe:
Universe: PURPOSEC = {5}
Universe Description: Take my 2020 Census information also?
Question Text: CAN YOU TAKE MY 2020 CENSUS INFORMATION ALSO?
No, the American Community Survey cannot collect your 2020 Census
information.
Spanish Question Text: ¿Puede usted tomar también mi información el Censo del 2020?
No, la Encuesta sobre la Comunidad Estadounidense no puede recopilar su
información para el Censo del 2020.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TFAQC
Value:
Mnemonic:
Description:
Last Modified: Tuesday, December 7, 2021
Page 506 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FAQ
1
Proceed with interview
2
Return to Census 2020 FAQ list
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Proceda con la entrevista
2
Regrese a la lista de Preguntas Frecuentes sobre el Censo del 2020
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: FAQs
1, 2
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to PURPOSEC
Last Modified: Tuesday, December 7, 2021
Page 507 of 592
Survey: ACS GQ LI 2023
Section: FCLANGUAGE_Tab
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FCLANGUAGE_Tab
Block
FCLANGUAGE_Tab
Description: Language identification card
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe: Jump Menu (F4) OR
point-click FCLANG Parallel Tab
Universe Description:
Array:
Block Instructions: Available immediately upon reentry into the case. Available at all times.
Last Modified: Tuesday, December 7, 2021
Page 508 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FCLANGUAGE_Tab
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FCLANGUAGE
Field
FCLANGUAGE_Tab.FCLANGUAGE
Description: Language Identification Flashcard link
Form Pane Label: Languagecard
SAS Name:
Tag Name:
Inherited Universe:
Universe:
Universe Description:
Question Text:
Language Identification Flashcard
Select the document LINK or press 1 to continue with the interview
Spanish Question Text:
Idioma de indentificación de tarjetas
Seleccione el vínculo de documento o presione 1 para continuar con la entrevista
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
1
Mnemonic:
Description:
Enter 1 to continue
Last Modified: Tuesday, December 7, 2021
Page 509 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: FCLANGUAGE_Tab
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
x Don't Know
x Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1, D, R} go to Main Path
Last Modified: Tuesday, December 7, 2021
Page 510 of 592
Survey: ACS GQ LI 2023
Section: Job Aids Tab
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Job Aids Tab
Block
Job Aids Tab
Description: Links to Letters
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe: If point-click Job Aids tab OR
Jump Menu(F4)
Universe Description:
Array:
Block Instructions: Available immediately upon reentry into the case. Available at all times.
Last Modified: Tuesday, December 7, 2021
Page 511 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Job Aids Tab
Blaise Item-Level Specifications Report
Spider Version 1.7.1
LETTERS
Field
Job Aids Tab.LETTERS
Description: Letter Links
Form Pane Label: Letters
SAS Name:
Tag Name:
Inherited Universe:
Universe: point-click Job_Aid_Tab OR
Jump Menu (F4)
Universe Description:
Question Text:
FERPA Letter from U.S. Department of Education
HIPAA Letter from U.S. Department of Health and Human Services
Job Corps Center Letter from U.S. Department of Labor
Letter to Military Facilities from U.S. Department of Defense
Select the document LINK or press 1 to continue with the interview
Spanish Question Text:
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
FERPA Letter from U.S. Department of Education
HIPAA Letter from U.S. Department of Health and Human Services
Job Corps Center Letter from U.S. Department of Labor
Letter to Military Facilities from U.S. Department of Defense
Seleccione el vínculo de documento o presione 1 para continuar con la entrevista
Type: Enumerated
Length: 1
Last Modified: Tuesday, December 7, 2021
Page 512 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: Job Aids Tab
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
Mnemonic:
1
Description:
Entre 1 para continuar
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:
Skip Instructions: {1, D, R} go to Main Path
Last Modified: Wednesday, March 11, 2020
Page 513 of 592
Survey: ACS GQ LI 2023
Section: GQ_Defs
GQ_Defs
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
GQ_Defs
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Tuesday, December 7, 2021
Page 514 of 592
Survey: ACS GQ LI 2023
Section: GQ_Defs
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GQ_Types
Field
GQ_Defs.GQ_Types
Description: GQ Type Code
Form Pane Label: GQ Type Code
SAS Name:
Tag Name:
Inherited Universe:
Universe: F3 OR
Jump Menu (F4) OR
point-click GQ Defs Tab OR
DEF101 = {2} OR
DEF102 = {2} OR
DEF103 = {2} OR
DEF104 = {2} OR
DEF105 = {2} OR
DEF106 = {2} OR
DEF201 = {2} OR
DEF202 = {2} OR
DEF203 = {2} OR
DEF301 = {2} OR
DEF401 = {2} OR
DEF402 = {2} OR
DEF403 = {2} OR
DEF404 = {2} OR
DEF405 = {2} OR
DEF501 = {2} OR
DEF601 = {2} OR
DEF602 = {2} OR
DEF701 = {2} OR
DEF801 = {2} OR
DEF802 = {2} OR
DEF901 = {2} OR
DEF902 = {2}
Universe Description:
Question Text: A group quarters is a place where people live or stay, in a group living
arrangement, that is owned or managed by an entity or organization providing
housing and/or services for the residents. This is not a typical household-type
living arrangement. These services may include custodial or medical care as
well as other types of assistance, and residency is commonly restricted to
those receiving these services. People living in group quarters are usually not
related to each other. Group quarters include such places as college residence
halls, residential treatment centers, skilled nursing facilities, group homes,
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
military barracks, correctional facilities, and workers' dormitories.
Choose a GQ Type Code from the list to see its definition.
Spanish Question Text: Un alojamiento de grupo es un lugar donde las personas viven o se quedan en
un arreglo de vivienda de grupo, de propiedad o bajo la administración de una
entidad u organización que proporciona alojamiento y/o servicios a los
residentes. Este no es el arreglo de vivienda de un hogar típico. Estos servicios
pueden incluir atención médica o de custodia además de otros tipos de
asistencia, y la residencia está normalmente limitada a aquellos que reciben
estos servicios. Por lo general, las personas que residen en alojamientos de
grupo no están emparentadas. Los alojamientos de grupo incluyen lugares
como residencias universitarias, centros residenciales de tratamiento, centros
de atención médica especializada, hogares de grupo, barracas militares,
instalaciones correccionales y dormitorios para trabajadores.
Elija un Código de Tipo de GQ de la lista para ver su definición.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 3
Answer List: TGQDEFS
Value:
Mnemonic:
Description:
101
Federal Detention Centers
102
Federal Prisons
103
State Prisons
104
Local Jails and Other Municipal Confinement Facilities
105
Correctional Residential Facilities
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
106
Military Disciplinary Barracks and Jails
201
Group Homes for Juveniles (non-correctional)
202
Residential Treatment Centers for Juveniles (non-correctional)
203
Correctional Facilities Intended for Juveniles
301
Nursing Facilities/Skilled Nursing Facilities
401
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
402
Hospitals With Patients Who Have No Usual Home Elsewhere
403
In-Patient Hospice Facilities
404
Military Treatment Facilities with Assigned Patients
405
Residential Schools for People with Disabilities
501
College/University Student Housing
601
Military Quarters
602
Military Ships
701
Emergency and Transitional Shelters (with sleeping facilities) for People
Experiencing Homelessness
801
Group Homes Intended for Adults (non-correctional)
802
Residential Treatment Centers for Adults (non-correctional)
901
Workers' Group Living Quarters and Job Corps Centers
902
Religious group quarters
Spanish
Value:
Mnemonic:
Description:
101
Centros Federales de Detención
102
Prisiones Federales
103
Prisiones Estatales
104
Cárceles Locales y Otras Instalaciones Municipales de Reclusión
105
Instalaciones Correccionales Residenciales
106
Barracas Disciplinarias y Cárceles Militares
201
Hogares de Grupo para Menores (no correccionales)
202
Centros Residenciales de Tratamiento para Menores (no correccionales)
203
Instalaciones Correccionales Destinadas a Menores
301
Hogares de Ancianos/Instalaciones de Hogares de Ancianos con
Servicios Médicos Especializados
401
Hospitales Psiquiátricos y Unidades Psiquiátricas en Otros Hospitales
402
Hospitales con Pacientes que No Tienen Una Residencia Habitual en Otro
Lugar
403
Instituciones para Pacientes Terminales Ingresados
404
Instalaciones Militares de Tratamiento con Pacientes Asignados
405
Escuelas Residenciales para Personas con Discapacidades
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
501
Viviendas para Estudiantes Universitarios
601
Alojamientos Militares
602
Buques Militares
701
Refugios de Emergencia (con Instalaciones para Dormir) para Personas
sin Hogar
801
Hogares de Grupo Destinados a Adultos (no correccionales)
802
Centros Residenciales de Tratamiento para Adultos (no correccionales)
901
Alojamientos de Grupo para Trabajadores y Centros de Job Corps
902
Alojamientos de Grupo Religiosos
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {101} go to DEF101
{102, 103} go to DEF103
{104} go to DEF104
{105} go to DEF105
{106} go to DEF106
{201} go to DEF201
{202} go to DEF202
{203} go to DEF203
{301} go to DEF301
{401} go to DEF401
{402} go to DEF402
{403} go to DEF403
{404} go to DEF404
{405} go to DEF405
{501} go to DEF501
{601, 602} go to DEF601
{701} go to DEF701
{801} go to DEF801
{802} go to DEF802
{901} go to DEF901
{902} go to DEF902
Last Modified: Tuesday, December 7, 2021
Page 518 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF101
Field
GQ_Defs.DEF101
Description: Federal Detention Centers
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {101}
Universe Description:
Question Text: Federal Detention Centers
Stand alone, generally multi-level, federally operated correctional facilities that
provide "short-term" confinement or custody of adults pending adjudication or
sentencing. These facilities may hold pretrial detainees, holdovers, sentenced
offenders, and Immigration and Customs Enforcement (ICE) inmates, formerly
called Immigration and Naturalization Service (INS) inmates. These facilities
include: Metropolitan Correctional Centers (MCCs), Metropolitan Detention
Centers (MDCs), Federal Detention Centers (FDCs), Bureau of Indian Affairs
Detention Centers, ICE Service Processing Centers, and ICE contract detention
facilities.
Spanish Question Text: Centros Federales de Detención
Instalaciones separadas, por lo general de varios pisos, operadas por el
gobierno federal que proporcionan reclusión o custodia "a corto plazo" de
adultos en espera de fallo o sentencia. En estas instalaciones pueden estar
detenidos los presos antes del juicio, detenidos en espera de traslado,
criminales ya sentenciados y reclusos del Servicio de Inmigración y Control de
Aduanas (ICE), antes conocido como Servicio de Inmigración y Naturalización
(INS). Estas instalaciones incluyen: Centros Correccionales Metropolitanos
(MCC), Centros de Detención Metropolitanos (MDC), Centros de Detención
Federales (FDC), Centros de Detención de la Oficina de Asuntos Indígenas,
Centros de Procesamiento del Servicio de ICE y las instalaciones de detención
contratadas por ICE.
PR English Question Text:
Last Modified: Tuesday, December 7, 2021
Page 519 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 520 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF103
Field
GQ_Defs.DEF103
Description: Federal and State Prisons
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {102} OR {103}
Universe Description:
Question Text: Federal and State Prisons
Adult correctional facilities where people convicted of crimes serve their
sentences. Common names include: prison, penitentiary, correctional
institution, federal or state correctional facility, and conservation camp. The
prisons are classified by two types of control: (1) "federal" (operated by or for
the Bureau of Prisons of the Department of Justice) and (2) "state." Residents
who are forensic patients or criminally insane are classified on the basis of
where they resided at the time of interview. Patients in hospitals (units, wings,
or floors) operated by or for federal or state correctional authorities are
interviewed in the prison population. Other forensic patients will be interviewed
in psychiatric hospital units and floors for long-term non-acute patients. This
category may include privately operated correctional facilities.
Spanish Question Text: Prisiones Federales y Estatales
Instalaciones correccionales para adultos donde cumplen sus sentencias las
personas condenadas por algún delito. Los nombres comunes incluyen:
prisión, penitenciaría, institución correccional, centro correccional estatal o
federal y campamento correccional. Las prisiones se clasifican en dos tipos de
control: (1) "federal" (operado por la Oficina de Prisiones del Departamento de
Justicia) y (2) "estatal". Los residentes que son pacientes atendidos por
médicos forenses o delincuentes psicóticos se clasifican en base al lugar
donde residían en el momento de la entrevista. Los pacientes en hospitales
(unidades, alas o pisos) operados por el gobierno federal o para el gobierno
federal o las autoridades correccionales estatales se entrevistan en la
población de la prisión. Otros pacientes atendidos por médicos forenses se
entrevistarán en las unidades de los hospitales psiquiátricos y los pisos para
pacientes a largo plazo de enfermedades no graves. Esta categoría puede
incluir los centros correccionales operados por entidades privadas.
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 522 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF104
Field
GQ_Defs.DEF104
Description: Local Jails and Other Municipal Confinement Facilities
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {104}
Universe Description:
Question Text: Local Jails and Other Municipal Confinement Facilities
Correctional facilities operated by or for counties, cities, and American Indian
and Alaska Native tribal governments. These facilities hold adults detained
pending adjudication and/or people committed after adjudication. This category
also includes work farms and camps used to hold people awaiting trial or
serving time on relatively short sentences. Residents who are forensic patients
or criminally insane are classified on the basis of where they resided at the
time of interview. Patients in hospitals (units, wings, or floors) operated by or
for local correctional authorities are counted in the jail population. Other
forensic patients will be interviewed in psychiatric hospital units and floors for
long-term non-acute patients. This category may include privately operated
correctional facilities.
Spanish Question Text: Cárceles Locales y Otras Instalaciones Municipales de Reclusión
Instituciones correccionales operadas para o por condados, ciudades y
gobiernos tribales de Indígenas de las Américas y Nativos de Alaska. En estos
centros están detenidos los adultos que están esperando sentencia y/o
personas recluidas después de la sentencia. Esta categoría también incluye las
granjas y campamentos de trabajo donde están detenidas las personas en
espera de juicio o que están cumpliendo condenas relativamente cortas. Los
residentes que son pacientes atendidos por médicos forenses o delincuentes
psicóticos se clasifican en base al lugar donde residían en el momento de la
entrevista. Los pacientes en hospitales (unidades, alas o pisos) operados por
el gobierno federal o para el gobierno federal o las autoridades correccionales
estatales se cuentan en la población de la prisión. Otros pacientes atendidos
por médicos forenses se entrevistarán en las unidades de los hospitales
psiquiátricos y los pisos para pacientes a largo plazo de enfermedades no
graves. Esta categoría puede incluir los centros correccionales operados por
entidades privadas.
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 524 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF105
Field
GQ_Defs.DEF105
Description: Correctional Residential Facilities
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {105}
Universe Description:
Question Text: Correctional Residential Facilities
These are community-based facilities operated for correctional purposes. The
facility residents may be allowed extensive contact with the community, such
as for employment or attending school, but are obligated to occupy the
premises at night. Examples are halfway houses, restitution centers, and
prerelease, work release, and study centers.
Spanish Question Text: Instalaciones Correccionales Residenciales
Estas son instalaciones de la comunidad que son operadas para propósitos
correccionales. A los residentes de las instalaciones se les puede permitir un
amplio contacto con la comunidad, para propósitos tales como tener un trabajo
o asistir a la escuela, pero están obligados a ocupar la instalación por la noche.
Por ejemplo, los hogares de transición, los centros de compensación y centros
para el periodo previo a la liberación, para trabajar o para estudiar.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 526 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF106
Field
GQ_Defs.DEF106
Description: Military Disciplinary Barracks and Jails
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {106}
Universe Description:
Question Text: Military Disciplinary Barracks and Jails
Correctional facilities managed by the military to hold those awaiting trial or
convicted of crimes.
Spanish Question Text: Barracas Disciplinarias y Cárceles Militares
Instalaciones correccionales administradas por las fuerzas armadas para los
detenidos en espera de juicio o sentenciados por algún delito.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
Last Modified: Tuesday, December 7, 2021
Page 527 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
1
Proceed with interview
2
Return to GQ Type code definitions list
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 528 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF201
Field
GQ_Defs.DEF201
Description: Group Homes for Juveniles (non-correctional)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {201}
Universe Description:
Question Text: Group Homes for Juveniles (non-correctional)
Includes community-based group living arrangements for youth in residential
settings that are able to accommodate three or more clients of a service
provider. The group home provides room and board and services, including
behavioral, psychological, or social programs. Generally, clients are not related
to the care giver or to each other. Examples are maternity homes for unwed
mothers, orphanages, and homes for abused and neglected children in need of
services. Group homes for juveniles do not include residential treatment
centers for juveniles or group homes operated by or for correctional
authorities.
Spanish Question Text: Hogares de Grupo para Menores (no correccionales)
Incluyen los arreglos de vivienda de grupo comunitarios para jóvenes en un
entorno residencial, capaces de alojar a tres o más clientes de un prestador de
servicios. El hogar de grupo proporciona alojamiento, comida y servicios,
incluyendo programas de comportamiento, psicológicos o sociales. Por lo
general, los clientes no están emparentados con la persona encargada ni
emparentados entre sí. Por ejemplo, las casas de maternidad para madres
solteras, los orfelinatos y los hogares para niños víctimas de abusos y
abandonados que necesitan servicios. Los hogares de grupo para menores no
incluyen los centros residenciales de tratamiento para menores ni los hogares
de grupo operados por autoridades correccionales o para ellas.
PR English Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF202
Field
GQ_Defs.DEF202
Description: Residential Treatment Centers for Juveniles (non-correctional)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {202}
Universe Description:
Question Text: Residential Treatment Centers for Juveniles (non-correctional)
Includes facilities that primarily serve youth that provide services on-site in a
highly structured live-in environment for the treatment of drug/alcohol abuse,
mental illness, and emotional/behavioral disorders. These facilities are staffed
24-hours a day. The focus of a residential treatment center is on the treatment
program. Residential treatment centers for juveniles do not include facilities
operated by or for correctional authorities.
Spanish Question Text: Centros Residenciales de Tratamiento para Menores (no correccionales)
Incluyen instalaciones que prestan servicio principalmente a los jóvenes, en el
mismo lugar y en un ambiente residencial altamente estructurado para el
tratamiento del abuso de narcóticos/alcohol, enfermedades mentales y
trastornos emocionales/de conducta. Estas instalaciones cuentan con personal
las 24 horas del día. El objetivo de un centro residencial de tratamiento está en
el programa del tratamiento. Los centros residenciales de tratamiento para
menores no incluyen instalaciones operadas por autoridades correccionales o
para ellas.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF203
Field
GQ_Defs.DEF203
Description: Correctional Facilities Intended for Juveniles
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {203}
Universe Description:
Question Text: Correctional Facilities Intended for Juveniles
Includes specialized facilities that provide strict confinement for its residents
and detain juveniles awaiting adjudication, commitment or placement, and/or
those being held for diagnosis or classification. Also included are correctional
facilities where residents are permitted contact with the community, for
purposes such as attending school or holding a job. Examples are residential
training schools and farms, reception and diagnostic centers, group homes
operated by or for correctional authorities, detention centers, and boot camps
for juvenile delinquents.
Spanish Question Text: Instalaciones Correccionales Destinadas a Menores
Incluyen instalaciones especializadas que proporcionan la detención estricta
de sus residentes y donde están detenidos los menores en espera de su
sentencia, internación o su ubicación, y/o los que están detenidos en espera de
diagnóstico o clasificación. También se incluyen las instalaciones
correccionales donde a los residentes se les permite el contacto con la
comunidad para propósitos tales como asistir a la escuela o tener un trabajo.
Por ejemplo, las escuelas y granjas residenciales de capacitación, centros de
recepción y diagnóstico, hogares de grupo operados por o para autoridades
correccionales, centros de detención y campamentos de entrenamiento
militarizado para delincuentes juveniles.
PR English Question Text:
PR Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF301
Field
GQ_Defs.DEF301
Description: Nursing Facilities/Skilled Nursing Facilities
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {301}
Universe Description:
Question Text: Nursing Facilities/Skilled-Nursing Facilities
Includes facilities licensed to provide medical care with seven day, twenty-four
hour coverage for people requiring long-term non-acute care. People in these
facilities require nursing care, regardless of age. Either of these types of
facilities may be referred to as nursing homes.
Spanish Question Text: Hogares de Ancianos/Instalaciones de Hogares de Ancianos con Servicios
Médicos Especializados
Incluyen instalaciones con licencia para proporcionar atención médica con
cobertura los siete días de la semana, las 24 horas del día, para las personas
que necesiten atención a largo plazo para enfermedades no graves. Las
personas en estas instalaciones necesitan atención médica,
independientemente de la edad. Cualquiera de estos tipos de instalaciones se
puede conocer como hogares de ancianos o nursing homes.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF401
Field
GQ_Defs.DEF401
Description: Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {401}
Universe Description:
Question Text: Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Includes psychiatric hospitals, units and floors for long-term non-acute care
patients. The primary function of the hospital, unit, or floor is to provide
diagnostic and treatment services for long-term non-acute patients who have
psychiatric-related illness.
Spanish Question Text: Hospitales Psiquiátricos y Unidades Psiquiátricas en Otros Hospitales
Incluyen los hospitales psiquiátricos, las unidades y los pisos para pacientes a
largo plazo, no graves. La principal función del hospital, unidad o piso es
proporcionar servicios de diagnóstico y tratamiento para los pacientes a largo
plazo, no graves que tengan enfermedades relacionadas con la psiquiatría.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF402
Field
GQ_Defs.DEF402
Description: Hospitals With Patients Who Have No Usual Home Elsewhere
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {402}
Universe Description:
Question Text: Hospitals with Patients Who Have No Usual Home Elsewhere
Includes hospitals if they have any patients who have no exit or disposition
plan, or who are known as "boarder patients" or "boarder babies." All hospitals
are eligible for inclusion in this category except psychiatric hospitals, units,
wings or floors operated by federal, state or local correctional authorities.
Patients in hospitals operated by these correctional authorities will be
interviewed in the prison or jail population. Psychiatric units and hospice units
in hospitals are also excluded. Only patients with no usual home elsewhere are
interviewed in this category.
Spanish Question Text: Hospitales con Pacientes que no Tienen una Residencia Habitual en Otro Lugar
Incluyen hospitales que tengan algún paciente sin un plan de salida o de alta, o
que sea conocido como "paciente huésped" o "bebé huésped". Todos los
hospitales pueden ser incluidos en esta categoría excepto los hospitales,
unidades, alas o pisos psiquiátricos operados por las autoridades
correccionales federales, estatales o locales. Los pacientes en hospitales
operados por estas autoridades correccionales se entrevistarán en la
población de prisiones o cárceles. Las unidades psiquiátricas y unidades para
pacientes terminales también se excluyen. Solo los pacientes que no tengan un
hogar habitual en otro lugar se entrevistan en esta categoría.
PR English Question Text:
PR Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF403
Field
GQ_Defs.DEF403
Description: In-Patient Hospice Facilities
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {403}
Universe Description:
Question Text: In-Patient Hospice Facilities
Includes in-patient hospice facilities (both free-standing and units in hospitals)
that provide palliative, comfort, and supportive care for the terminally ill patient
and their families. All patients in these GQs are included in the ACS GQ
sample.
Spanish Question Text: Instalaciones para Pacientes Terminales Ingresados
Incluyen a las personas en instalaciones para pacientes terminales (tanto
separadas como en unidades de hospitales) que proporcionen cuidados
paliativos, de consuelo y apoyo para los enfermos terminales y sus familias.
Todos los pacientes en estos GQ se incluyen en la muestra de GQ de ACS.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF404
Field
GQ_Defs.DEF404
Description: Military Treatment Facilities with Assigned Active Duty Patients
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {404}
Universe Description:
Question Text: Military Treatment Facilities with Assigned Patients
These facilities include military hospitals and medical centers with active duty
patients assigned to the facility. Only these patients are interviewed in this
category.
Spanish Question Text: Instalaciones Militares de Tratamiento con Pacientes Asignados
Estas instalaciones incluyen los hospitales militares y centros médicos con
pacientes en servicio activo asignados a la instalación. Solamente estos
pacientes se entrevistan en esta categoría.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Value:
Mnemonic:
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF405
Field
GQ_Defs.DEF405
Description: Residential Schools for People with Disabilities
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {405}
Universe Description:
Question Text: Residential Schools for People with Disabilities
Includes schools that provide the teaching of skills for daily living, education
programs, and care for students with disabilities in a live-in environment.
Examples are residential schools for the physically or developmentally
disabled.
Spanish Question Text: Escuelas Residenciales para Personas con Discapacidades
Incluyen las escuelas que proporcionan la enseñanza de destrezas para la vida
diaria, programas de educación y cuidado para los estudiantes con
discapacidades en un ambiente residencial. Algunos ejemplos son escuelas
residenciales para personas con discapacidades físicas o de desarrollo.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF501
Field
GQ_Defs.DEF501
Description: College/University Student Housing
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {501}
Universe Description:
Question Text: College/University Student Housing
Includes residence halls, and other buildings, including apartment-style
student housing, designed primarily to house college and university students
in a group living arrangement either on or off campus. These facilities are
owned, leased, or managed by a college, university, or seminary. Fraternity and
sorority housing recognized by the college or university are included as
college student housing.
Students attending the U.S. Naval Academy, the U.S. Military Academy (West
Point), the U.S. Coast Guard Academy, and the U.S. Air Force Academy are
counted in military group quarters.
Spanish Question Text: Viviendas para Estudiantes Universitarios
Incluye residencias universitarias y otros edificios, incluyendo viviendas para
estudiantes tipo apartamento, diseñadas principalmente para albergar
estudiantes universitarios en un arreglo de vivienda de grupo dentro o fuera
del campus. Estas instalaciones son propiedad de, alquiladas o administradas
por una universidad o un seminario. Las casas de hermandades universitarias
masculinas o femeninas reconocidas por la universidad se incluyen como
vivienda de estudiantes universitarios.
Los estudiantes que asisten a la Academia Naval de los EE. UU., la Academia
Militar de los EE. UU. (West Point), la Academia de la Guardia Costera de los
EE. UU. y la Academia de la Fuerza Aérea de los EE. UU. se cuentan en los
alojamientos de grupo militares.
PR English Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF601
Field
GQ_Defs.DEF601
Description: Military Quarters
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {601} OR {602}
Universe Description:
Question Text: Military Quarters
These facilities include military personnel living in barracks (including "open"
barrack transient quarters) and dormitories and military ships. Patients
assigned to Military Treatment Facilities and people being held in military
disciplinary barracks and jails are not interviewed in this category. Patients in
Military Treatment Facilities with no usual home elsewhere are not interviewed
in this category.
Spanish Question Text: Alojamientos Militares
Estas instalaciones incluyen al personal militar que vive en barracas
(incluyendo los alojamientos en barracas "abiertas" de tránsito) y dormitorios y
buques militares. Los pacientes asignados a Instalaciones Militares de
Tratamiento y las personas detenidas en barracas disciplinarias y cárceles
militares no se entrevistan en esta categoría. Los pacientes en Instalaciones
Militares de Tratamiento que no tengan un lugar habitual donde vivir no se
entrevistan en esta categoría.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF701
Field
GQ_Defs.DEF701
Description: Emergency and Transitional Shelters (with sleeping facilities) for People Experiencing
Homelessness
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {701}
Universe Description:
Question Text: Emergency and Transitional Shelters (with Sleeping Facilities) for People
Experiencing Homelessness
Facilities where people experiencing homelessness stay overnight. These
include:
1) shelters that operate on a first-come, first-serve basis where people must
leave in the morning andhave no guaranteed bed for the next night;
2) shelters where people know that they have a bed for a specified period of
time (even if they leavethe building every day); and
3) shelters that provide temporary shelter during extremely cold weather (such
as churches). This category does not include shelters that operate only in the
event of a natural disaster.
Examples are emergency and transitional shelters; missions; hotels and motels
used to shelter people experiencing homelessness; shelters for children who
are runaways, neglected or experiencing homelessness; and similar places
known to have people experiencing homelessness.
Spanish Question Text: Refugios de Emergencia (con Instalaciones para Dormir) para Personas sin
Hogar
Instalaciones donde se quedan a pasar la noche las personas sin hogar. Estas
incluyen:
1) Refugios que se operan bajo el principio de orden de llegada, donde las
personas tienen que salir por la mañana y no tienen una cama garantizada para
la noche siguiente;
2) Refugios donde las personas saben que tienen una cama por un período
específico (incluso si salen del edificio todos los días); y
3) Refugios que proporcionan alojamiento por un tiempo cuando hay
temperaturas extremadamente frías (como las iglesias). Esta categoría no
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
incluye los refugios que operan solamente en caso de un desastre natural.
Por ejemplo, refugios de emergencia; misiones; hoteles y moteles que se usan
para albergar a las personas sin hogar; refugios para niños que han huido de
sus casas, abandonados o sin hogar; y lugares similares que se sabe que
albergan a personas sin hogar.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
DEF801
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Field
GQ_Defs.DEF801
Description: Group Homes Intended for Adults (non-correctional)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {801}
Universe Description:
Question Text: Group Homes Intended for Adults
Group homes are community-based group living arrangements in residential
settings that are able to accommodate three or more clients of a service
provider. The group home provides room and board and services, including
behavioral, psychological, or social programs. Generally, clients are not related
to the care giver or to each other. Group homes do not include residential
treatment centers or facilities operated by or for correctional authorities.
Spanish Question Text: Hogares de Grupo Destinados a Adultos
Los hogares de grupo son arreglos de vivienda en grupo de la comunidad en
entornos residenciales que pueden alojar a tres o más clientes de un prestador
de servicios. El hogar de grupo proporciona alojamiento, comida y servicios,
incluyendo programas de comportamiento, psicológicos o sociales. Por lo
general, los clientes no están emparentados con la persona encargada ni
emparentados entre sí. Los hogares de grupo no incluyen los centros
residenciales de tratamiento ni las instalaciones operadas por autoridades
correccionales o para ellas.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 7, 2021
Page 554 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 555 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF802
Field
GQ_Defs.DEF802
Description: Residential Treatment Centers for Adults (non-correctional)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {802}
Universe Description:
Question Text: Residential Treatment Centers for Adults
Residential facilities that provide treatment on-site in a highly structured live-in
environment for the treatment of drug/alcohol abuse, mental illness, and
emotional/behavioral disorders. They are staffed 24-hours a day. The focus of a
residential treatment center is on the treatment program. Residential treatment
centers do not include facilities operated by or for correctional authorities.
Spanish Question Text: Centros Residenciales de Tratamiento para Adultos
Instalaciones residenciales que proporcionan tratamiento en el mismo lugar en
un ambiente residencial altamente estructurado para el tratamiento del abuso
de drogas/alcohol, enfermedades mentales y trastornos emocionales/de
conducta. Estos centros cuentan con personal las 24 horas del día. El objetivo
de un centro residencial de tratamiento está en el programa del tratamiento.
Los centros residenciales de tratamiento no incluyen instalaciones operadas
por o para autoridades correccionales.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 7, 2021
Page 556 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 557 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF901
Field
GQ_Defs.DEF901
Description: Workers' Group Living Quarters and Job Corps Centers
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {901}
Universe Description:
Question Text: Workers' Group Living Quarters and Job Corps Centers
Includes facilities such as dormitories, bunkhouses, and similar types of group
living arrangements for agricultural and non-agricultural workers. This category
also includes facilities that provide a full-time, year-round residential program
offering a vocational training and employment program that helps young
people 16-to-24 years old learn a trade, earn a high school diploma or GED and
get help finding a job.
Examples are group living quarters at migratory farm worker camps,
construction workers' camps, Job Corps centers, and vocational training
facilities, and energy enclaves in Alaska.
Spanish Question Text: Alojamientos de Grupo para Trabajadores y Centros de Job Corps
Incluye instalaciones tales como dormitorios, barracas y otros tipos de
arreglos de vivienda de grupo similares para trabajadores agrícolas y no
agrícolas. Esta categoría también incluye instalaciones que proporcionan un
programa residencial de tiempo completo todo el año que ofrece un programa
de capacitación vocacional y de empleo que ayuda a los jóvenes de entre 16 y
24 años a aprender un oficio, obtener un certificado de estudios secundarios o
un GED y recibir ayuda para encontrar trabajo.
Por ejemplo, alojamientos de grupo en campamentos de trabajadores agrícolas
migratorios, campamentos para trabajadores de la construcción, centros de
Job Corps e instalaciones para capacitación profesional, y enclaves de energía
en Alaska.
PR English Question Text:
Last Modified: Tuesday, December 7, 2021
Page 558 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Tuesday, December 7, 2021
Page 559 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
DEF902
Field
GQ_Defs.DEF902
Description: Religious group quarters (convents, monasteries, abbeys)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:
Universe: GQ_Types = {902}
Universe Description:
Question Text: Religious Group Quarters
These are living quarters owned or operated by religious organizations that are
intended to house their members in a group living situation. This category
includes such places as convents, monasteries, and abbeys. Living quarters
for students living or staying in seminaries are classified as college student
housing not religious group quarters.
Spanish Question Text: Alojamientos de Grupo Religiosos
Son alojamientos de grupo propiedad de u operados por organizaciones
religiosas, destinados a alojar a sus miembros en una situación de vivienda de
grupo. Esta categoría incluye lugares tales como conventos, monasterios y
abadías. Los alojamientos para estudiantes que vivan o se queden en
seminarios se clasifican como alojamientos para estudiantes universitarios, no
como alojamientos de grupo religiosos.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Last Modified: Tuesday, December 7, 2021
Page 560 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GQ_Defs
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Enumerated
Length: 1
Answer List: TDEF
Value:
Mnemonic:
Description:
1
Proceed with interview
2
Return to GQ Type code definitions list
Spanish
Value:
Mnemonic:
Description:
1
Proceder con la entrevista
2
Regresar a la lista de definiciones de código de tipo de GQ
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: {1} return to interview at last question displayed
{2} go to GQ_Types
Last Modified: Monday, May 20, 2019
Page 561 of 592
Survey: ACS GQ LI 2023
Section: ?
?
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
?
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Saturday, May 5, 2018
Page 562 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: ?
Blaise Item-Level Specifications Report
Spider Version 1.7.1
EXITING CASE
Field
?.EXITING CASE
Description: 4.2
When exiting the case, the system will do the following:
SampleGQType=GQTYPE] and [Set SECURREQ = SECPROCS]
[Set
Form Pane Label:
SAS Name: EXITING CASE
Tag Name: EXITING CASE
Inherited Universe:
Universe:
Universe Description:
Question Text:
Spanish Question Text:
Type: String
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Last Modified: Saturday, May 5, 2018
Page 563 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: ?
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SUBROUTINES
Field
?.SUBROUTINES
Description: 4.3 EXIT [FR gets here by hitting F10 to exit the instrument]
Form Pane Label:
SAS Name: SUBROUTINES
Tag Name: SUBROUTINES
Inherited Universe:
Universe: Selection of F10 in the instrument or [INTRO = DK or R] or [CREATE ALLBEDS = 2,
r] or [BoP_Flag=1]
Universe Description:
Question Text:
Spanish Question Text:
Type: String
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Last Modified: Monday, May 20, 2019
Page 564 of 592
Survey: ACS GQ LI 2023
Section: Data Model Level & F10 Exit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Data Model Level & F10 Exit
Block
Data Model Level & F10 Exit
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Tuesday, December 7, 2021
Page 565 of 592
Survey: ACS GQ LI 2023
Section: Data Model Level & F10 Exit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
FINISH
Field
Data Model Level & F10 Exit.FINISH
Description: Ready to Transmit
Form Pane Label:
SAS Name: FINISH
Tag Name: FINISH
Inherited Universe:
Universe: STOREOUT = {801, 811, 818, 819}
Universe Description:
Question Text:
Spanish Question Text:
This case is ready to be transmitted. Enter 1 to continue.
Este caso está listo para transmitir. Entre 1 para continuar.
PR English Question Text:
PR Spanish Question Text:
SS Spanish Question Text:
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
1
Description:
Enter 1 to continue
Spanish
Value:
1
Mnemonic:
Description:
Entre 1 para continuar
Last Modified: Tuesday, December 7, 2021
Page 566 of 592
Survey: ACS GQ LI 2023
Section: Data Model Level & F10 Exit
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values 1
Array:
Special Instructions: For cases that meet the universe requirements, this should be the last screen
displayed before exiting to the Notes Module.
{1} AND STOREOUT <> {blank} set OUTCOME = STOREOUT
Skip Instructions: {1} AND STOREOUT <> {blank} go to NOTES
Last Modified: Wednesday, April 18, 2018
Page 567 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
GEOCODING MODULE TAB
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Block
GEOCODING MODULE TAB
Description:
Tab Name:
Fly Over Name:
Universe Type:
Inherited Universe:
Universe:
Universe Description:
Array:
Block Instructions:
Last Modified: Friday, June 1, 2018
Page 568 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
START_GCD
Field
GEOCODING MODULE TAB .START_GCD
Description: Start Geocode
Form Pane Label:
SAS Name: START_GCD
Tag Name: START_GCD
Inherited Universe:
Universe: OUTCOME = 807 or 808 when entering a case.
Universe Description:
Question Text:
You have completed an interview for this case, but geocoding is still incomplete.
Would you like to proceed to the geocoding screen now?
SPECIAL PLACE NAME:
GROUP QUARTERS NAME:
ADDRESS:
^GQADDLINE1_Fill
^GQADDLINE2_Fill
PHYSICAL DESC/LOCATION:
Spanish Question Text:
^SPECPLACE_Fill
^GQNAME_Fill
^PHYSDES_Fill
Usted ha completado una entrevista para este caso, pero la de la codificacion
geografica esta incompleto. ¿Desea pasar ahora a las pantallas de codigos
geograficos?
NOMBRE DEL LUGAR ESPECIAL:
NOMBRE DEL ALOJAMIENTO DE GRUPO:
DIRECCIÓN:
^SPECPLACE_Fill
^GQNAME_Fill
^GQADDLINE1_Fill
^GQADDLINE2_Fill
DESCRIPCIÓN FÍSICA/UBICACIÓN:
^PHYSDES_Fill
Fills: GQNAME_Fill
Instructions: Group Quarters name.
Last Modified: Friday, June 1, 2018
Page 569 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: GQADDLINE1_Fill
Instructions: Group Quartes address line 1.
Fills: GQADDLINE2_Fill
Instructions: Group Quarters address line 2.
Fills: SPECPLACE_Fill
Instructions: Special place name of the Group Quarters.
Fills: PHYSDES_Fill
Instructions: Physical description or location of the Group Quarters.
Type: Enumerated
Length: 1
Answer List: TSTART_GCD
Value:
Mnemonic:
Description:
1
Yes
2
No - transmit case without geocoding
3
Quit - do not attempt now.
Spanish
Value:
Mnemonic:
Description:
1
Si
2
No - Transmita el caso sin realizer la codificación geográfica
3
No Siga - No intente ahora
Don't Know
Refuse
Empty
On Input
x On Output
Array:
Special Instructions: If BoP_FL ne 'yes' and PEAS_FL = 1 and SRCHKNLRESP = 1 or 2, or INTRO =1, DK
or R make Geo tab active and set FstFRReqd=.
Last Modified: Friday, June 1, 2018
Page 570 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Skip Instructions: If START_GCD = 1 goto GCDCORRECT.
If START_GCD = 2 goto SNDNOGCD.
If START_GCD = 3 goto Notes
Last Modified: Friday, June 1, 2018
Page 571 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GCDCORRECT
Field
GEOCODING MODULE TAB .GCDCORRECT
Description: Are Geocodes Correct
Form Pane Label:
SAS Name: GCDCORRECT
Tag Name: GCDCORRECT
Inherited Universe:
Universe: Available by clicking on tab labeled "Geo" or pressing Ctrl+G
Universe Description:
Question Text: Original geocodes provided for this case:
STCOU: [^PSU_Fill]
Tract: [^Tract_Fill]
Block: [^Block_Fill]
Are you ready to geocode?
Spanish Question Text: ¿Están correctos los códigos geográficos? Códigos geográficos originales
provistos para este caso:
STCOU: [^PSU_Fill]
Sector: [^Tract_Fill]
Bloque: [^Block_Fill]
¿Está listo para realizar la codificación geográfica?
Fills: Block_Fill
Instructions: The Geocoded Block number for a GQ.
Fills: PSU_Fill
Instructions: State and County.
Fills: Tract_Fill
Instructions: The Geocoded Tract number for a GQ.
Type: Enumerated
Last Modified: Friday, June 1, 2018
Page 572 of 592
Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Length: 1
Answer List: TGCDCORRECT
Value:
Mnemonic:
Description:
1
Return to the interview without geocoding.
2
Geocode the sample unit
3
[Fill 4: Geocodes verified to be correct ]
4
Unable to Geocode
Spanish
Value:
Mnemonic:
Description:
1
Regrese a la entrevista sin realizar la codificación geográfica.
2
Lleve a cabo la codificación geográfica para la unidad en la muestra.
3
[Fill4: Se ha verificado que los códigos geográficos están correctos
]
4
No se pueden Codificar Geográficamente.
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Fill Instructions
If PSU, Tract, and Block are ALL NOT blank on the .in file and lima_flag='No', then
use the appropriate values from the CASEID.in file:
[Fill 1: PSU (display all 5 characters including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display the first 4 characters, including leading zeroes)]
[Fill4: Geocodes verified to be correct]
If at least one of PSU, Tract, and Block are blank on the .in file and lima_flag='No',
then use the appropriate
values (or blank where not provided) from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display all 4 characters, including leading zeroes)]
[Fill4: ]
If lima_flag='Yes', then use the appropriate
values (or blank where not provided) from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] ,
Last Modified: Friday, June 1, 2018
Page 573 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display all 4 characters, including leading zeroes)]
[Fill4: ]
(Spanish)
Fill Instructions: 1. If PSU, Tract, and block are ALL NOT blank on the .in file and
lima_flag='No', then use the appropriate values from the CASEID.in file: [Fill 1: PSU
(display all 5 characters including leading zeroes)] , [Fill2: Tract (display all 6
characters, including leading zeroes)], [Fill3: block (display the first 4 characters,
including leading zeroes)] [Fill4: Se ha verificado que los códigos geográficos
están correctos ] 2. If at least one of PSU, Tract, and block are blank on the .in file
and lima_flag='No', then using the appropriate values (or blank where not provided)
from the CASEID.in file: [Fill 1: PSU (display all 5 characters, including leading
zeroes)] , [Fill2: Tract (display all 6 characters, including leading zeroes)], [Fill3: block
(display all 4 characters, including leading zeroes)] [Fill4: ] 3. If lima_flag='Yes', then
using the appropriate values (or blank where not provided) from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] , [Fill2: Tract (display
all 6 characters, including leading zeroes)], [Fill3: block (display all 4 characters,
including leading zeroes)] [Fill4: ]
Valid Values: 1- 4
Array:
Special Instructions: Special Instr.
GeocodeCmplt is a one-character variable stored at the root level with values
1(complete) and 0 (incomplete). GeocodeCmplt should be read in from the
.in file, and should be set to 0 when the case is first created. If
GeocodeCmplt is ever set = 1 in the instrument, then it must stay=1 (should never be
changed back to 0) and be passed out via the .out file and eventually
passed up to ROSCO. ROSCO must then pass back a value of GeocodeCmplt =1 to
the case, including when the case is reassigned and be passed into the instrument
via the .in file.
2. IF (GCDCORRECT= 3 and OUTCOME=807 or 808 and STOREOUT is non-blank),
then set OUTCOME=STOREOUT.
3. Show Answer Cat #3 when PSU, Tract, and block are ALL NOT blank on the
.in file. "Hide" Answer Cat #3 when at least one of PSU, Tract, and block
are blank on the .in file.
4. Hard Error: (display when GCDCORRECT=3 and at least one of PSU, Tract, and
block are blank on the .in file.)
Last Modified: Friday, June 1, 2018
Page 574 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
(Interviewer Instruction)
*Invalid Response
*Respuesta no es válida
5. IF on the .in file ALL of the following are true: GeocodeCmplt=1,
PSU=NEWSTCOU (both non-blank), TRACT =NEWTRACT (both non-blank), and
BLOCK=NEWBLOCK (Both non-blank), [meaning this FR or another FR verified the
geocodes to be correct on a prior attempt], THEN set GCDCORRECT=3 when
starting the case.
Special Instructions
6. IF on the .in file GeocodeCmplt=1, AND ANY of the following are also true
on the .in file:
PSU<>NEWSTCOU (both non-blank), TRACT
<>NEWTRACT (both non-blank), and BLOCK<>NEWBLOCK (Both non-blank),
[meaning this FR or another FR verified the geocodes to be incorrect on a prior
attempt and captured the corrected code(s)]
THEN set GCDCORRECT=2,
GCDCHECK=1, and pre-fill NEWSTCOU, NEWTRACT, and NEWBLOCK with the
corresponding values from the .in file when starting the case.
7.
If GCDCORRECT=3 and FstFRCmplt=, then set FstFRCmplt= the
USERID of the FR working the case. If FstFRCmplt is not blank, then make no
change to the value of FstFRCmplt. The FstFRCmplt variable must be passed out via
the .out file and eventually passed up to ROSCO. ROSCO must then pass
back the value of FstFRCmplt to the case when the case is reassigned, and be
passed into the instrument via the .in file. FstFRCmplt should not be
blanked out once it has been filled with an USERID.
8. If GCDCORRECT = 3, FstFRCmplt = , and FstFRReqd = , set
FstFRReqd = FstFRCmplt. If FstFRReqd = , then make no change to the
value of FstFRReqd.
9. If GCDCORRECT = 3 and ANY of the following are true: PSUNEWSTCOU,
TRACTNEWTRACT, or BLOCKNEWBLOCK, then set NEWSTCOU =
PSU, NEWTRACT = TRACT, and NEWBLOCK = BLOCK (even if TRACT or BLOCK
= ).
(NEW Variable = fldGEOCmplt added 5/9/2013 to correct geocoding ROSCO reports
and case management flag display)
if ((outcome is not 807,808 and ((GEOCODECMPLT = 0 and GeocodeReqd = 1) or
(GEOCODECMPLT = 0 and GeocodeReqd = 0) or (GEOCODECMPLT = 1 and
GeocodeReqd = 1)) or
(outcome is 807,808 and (START_GCD = YES)))
and (GCDCORRECT <> empty) and ((GCDCORRECT = incorrect{2} AND
(NEWSTCOU, NEWTRACT, NEWBLOCK not EMPTY) )
or
Last Modified: Friday, June 1, 2018
Page 575 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
((GCDCORRECT = correct{3}) and (PSU <> Empty) and(Origtract <> Empty) and
(Origblock<> Empty))
THEN
fldGeoCmplt = 1
else
fldGeoCmplt = 0
Skip Instructions: If GCDCORRECT=1, go to Main Path
If GCDCORRECT=2 and lima_flag = 'No', go to NEWSTCOU
If GCDCORRECT=2 and lima_flag = 'Yes', launch LiMA
If GCDCORRECT= 3, see special instructions.
If GCDCORRECT=4, go to SNDNOGCD
1. If GCDCORRECT=<3> set GeocodeCmplt = 1.
Last Modified: Friday, June 1, 2018
Page 576 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWSTCOU
Field
GEOCODING MODULE TAB .NEWSTCOU
Description: STCOU Code
Form Pane Label:
SAS Name: NEWSTCOU
Tag Name: NEWSTCOU
Inherited Universe:
Universe: GCDCORRECT=2
Universe Description:
Question Text: Enter the correct five-digit STCOU code.
[Fill 4: Press ENTER if the original STCOU code is correct/blank]
Original geocodes provided for this case:
STCOU: [^PSU_Fill]
Tract: [^Tract_Fill]
Block: [^Block_Fill]
Spanish Question Text:
Ente el código STCOU correcto de cinco cifras.
[Fill 4: Presione si el código STCOU original está correcto/blank]
Códigos geográficos originales provistos para este caso:
STCOU: [^PSU_Fill]
Sector: [^Tract_Fill]
Bloque: [^Block_Fill]
Fills: PSU_Fill
Instructions: State and County.
Fills: Tract_Fill
Instructions: The Geocoded Tract number for a GQ.
Fills: Block_Fill
Instructions: The Geocoded Block number for a GQ.
Last Modified: Friday, June 1, 2018
Page 577 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Integer
Length: 5
Min:
Max:
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values 01001-72999, 88002, 88008
Fill Instructions
1. Use the appropriate values from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, Including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display the first 4 characters, including leading zeroes)]
Array:
Special Instructions: 1. IF on the .in file GeocodeCmplt=1, AND PSUNEWSTCOU, pre-fill
the answer space with the NEWSTCOU value from the .in file, ELSE, pre-fill
the answer space with the original STCOU code from the .in file.
Output any changed value using the NEWSTCOU variable.
2. Hard Error: (display when less than 5 characters entered.)
Interviewer Instruction (use blue font, precede with a hyphen)
ENG: Invalid Response—You must enter all five digits of the STCOU code.
3. Hard Error: (display when 5 characters are entered, but the characters are outside
of the valid values range)
Interviewer Instruction (use blue font, precede with a hyphen)
ENG: Invalid Response—You must enter a value between 01001 and 72999.
(Spanish)
1. IF on the .in file GeocodeCmplt=1, AND PSUNEWSTCOU, pre-fill
the answer space with the NEWSTCOU value from the .in file, ELSE, pre-fill
the answer space with the original STCOU code from the .in file.
Last Modified: Friday, June 1, 2018
Page 578 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Output any changed value using the NEWSTCOU variable.
2. Hard Error: (display when less than 5 characters entered.)
Interviewer Instruction (use blue font, precede with a hyphen)
Respuesta no es válida - Usted debe entrar todas las cinco cifras del código
STCOU.
3. Hard Error: (display when 5 characters are entered, but the characters are outside
of the valid values range)
Interviewer Instruction (use blue font, precede with a hyphen)
Respuesta no es válida - Usted debe entrar un valor entre 01001 y 72999.
Skip Instructions: Goto NEWTRACT
Last Modified: Friday, June 1, 2018
Page 579 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWTRACT
Field
GEOCODING MODULE TAB .NEWTRACT
Description: Tract Code
Form Pane Label:
SAS Name: NEWTRACT
Tag Name: NEWTRACT
Inherited Universe:
Universe: GCDCORRECT=2
Universe Description:
Question Text: Enter the correct six-digit tract code with no decimal point.
[Fill 4: Press ENTER if the original tract code is correct/blank].
Original geocodes provided for this case:
STCOU: [^PSU_Fill]
Tract: [^Tract_Fill]
Block: [^Block_Fill]
Spanish Question Text:
Entre el código de sector correcto de seis cifras sin punto decimal.
[Fill 4: Presione si el código de sector original está correcto/blank]
Códigos geográficos originales provistos para este caso:
STCOU: [^PSU_Fill]
Sector: [^Tract_Fill]
Bloque: [^Block_Fill]
Fills: PSU_Fill
Instructions: State and County.
Fills: Tract_Fill
Instructions: The Geocoded Tract number for a GQ.
Fills: Block_Fill
Instructions: The Geocoded Block number for a GQ.
Last Modified: Friday, June 1, 2018
Page 580 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Integer
Length: 1
Min: 000100
Max: 999999
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values: 000100-999999
Fill Instructions
1. Use the appropriate values from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display the first 4 characters, including leading zeroes)]
Array:
Special Instructions: 1. IF on the .in file GeocodeCmplt=1, AND
TRACTNEWTRACT, pre-fill the answer space with the
NEWTRACT value from the .in file, ELSE, pre-fill the
answer space with the original TRACT code from the .in
file.
2. Output any changed value using the NEWTRACT variable.
3. Hard Error: (display when less than 6 characters entered.)
Interviewer Instruction (use blue font, precede with a hyphen)
Respuesta no es válida - Usted debe entrar todas las seis cifras del código de
sector.
4. Hard Error: (display when 6 characters are entered, but the
characters are outside of the valid values range)
Interviewer Instruction (use blue font, precede with a diamond)
Respuesta no es válida - Usted debe entrar un valor entre 000100 y 999999..
Last Modified: Friday, June 1, 2018
Page 581 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
(Spanish)
1. IF on the .in file GeocodeCmplt=1, AND
TRACTNEWTRACT, pre-fill the answer space with the
NEWTRACT value from the .in file, ELSE, pre-fill the
answer space with the original TRACT code from the .in
file.
2. Output any changed value using the NEWTRACT variable.
3. Hard Error: (display when less than 6 characters entered.)
Interviewer Instruction (use blue font, precede with a hyphen)
Respuesta no es válida - Usted debe entrar todas las seis cifras del código de
sector.
4. Hard Error: (display when 6 characters are entered, but the
characters are outside of the valid values range)
Interviewer Instruction (use blue font, precede with a diamond)
Respuesta no es válida - Usted debe entrar un valor entre 000100 y 999999..
Skip Instructions: Goto NEWBLOCK
Last Modified: Friday, June 1, 2018
Page 582 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
NEWBLOCK
Field
GEOCODING MODULE TAB .NEWBLOCK
Description: block Code
Form Pane Label:
SAS Name: NEWBLOCK
Tag Name: NEWBLOCK
Inherited Universe:
Universe: GCDCORRECT=2
Universe Description:
Question Text: Enter the correct four-digit block code.
[Fill 4: Press ENTER if the original block code is correct/blank]
Original geocodes provided for this case:
STCOU: [^PSU_Fill]
Tract: [^Tract_Fill]
Block: [^Block_Fill]
Spanish Question Text:
Entre el código de bloque correcto de cuatro cifras.
[Fill 4: Presione si el código de bloque original está correcto/blank]
Códigos geográficos originales provistos para este caso:
STCOU: [^PSU_Fill]
Sector: [^Tract_Fill]
Bloque: [^Block_Fill]
Fills: PSU_Fill
Instructions: State and County.
Fills: Tract_Fill
Instructions: The Geocoded Tract number for a GQ.
Fills: Block_Fill
Instructions: The Geocoded Block number for a GQ.
Last Modified: Friday, June 1, 2018
Page 583 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Type: Integer
Length: 1
Min: 1000
Max: 9999
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values 1000-9999
Fill Instructions
1. Use the appropriate values from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display the first 4 characters, including leading zeroes)]
2. If Block is blank [Fill 4:]
Else [Fill 4: Press if the original block code is correct.]
(Spanish)
Fill Instructions:
1. Use the appropriate values from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: block (display the first 4 characters, including leading zeroes)]
2. If block is blank [Fill 4:] Else [Fill 4: [Fill 4: Presione si el código de bloque original
está correcto/ ]
Array:
Special Instructions: 1. IF on the .in file GeocodeCmplt=1, AND BLOCKNEWBLOCK, pre-fill
the answer space with the NEWBLOCK value from the .in file, ELSE, pre-fill
the answer space with the original BLOCK code from the .in file.
2. Output any changed value using the NEWBLOCK variable.
3. Hard Error: (display when less than 4 characters entered.)
Interviewer Instruction (use blue font, precede with a hyphen)
Last Modified: Friday, June 1, 2018
Page 584 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ENG: Invalid Response—You must enter all four digits of the
block code.
4. Hard Error: [Display when (STCOU from Caseid>.in=NEWSTCOU) and (Tract from
.in=NEWTRACT) and (Block from .in=NEWBLOCK) and
GCDCORRECT=2]
Interviewer Instruction (use blue font, precede with a hyphen)
ENG: You have recorded that the original geocodes are not correct or complete, but
you have not entered any updated geocodes—which is correct?
Questions involved: GCDCORRECT, NEWSTCOU, NEWTRACT, NEWBLOCK
5.
Hard Error: (display when 4 characters are entered, but the characters are
outside of the valid values range)
Interviewer Instruction (use blue font, precede with a diamond)
ENG: Invalid Response—You must enter a value between 1000 and 9999.
(Spanish)
1. IF on the .in file GeocodeCmplt=1, AND BLOCKNEWBLOCK, pre-fill
the answer space with the NEWBLOCK value from the .in file, ELSE, pre-fill
the answer space with the original BLOCK code from the .in file.
2. Output any changed value using the NEWBLOCK variable.
3. Hard Error: (display when less than 4 characters entered.)
Interviewer Instruction (use blue font, precede with a hyphen)
Respuesta no es válida - Usted debe entrar todas las cuatro cifras del código
de bloque.
4. Hard Error: [Display when (STCOU from Caseid>.in=NEWSTCOU) and (Tract from
.in=NEWTRACT) and (block from .in=NEWBLOCK) and
GCDCORRECT=2]
Interviewer Instruction (use blue font, precede with a hyphen)
Usted ha registrado que los códigos geográficos originales no están correctos o
completos, pero usted no ha entrado ningún código geográfico actualizado.
¿Cuál está correcto?
Questions involved: GCDCORRECT, NEWSTCOU, NEWTRACT, NEWBLOCK
Last Modified: Friday, June 1, 2018
Page 585 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
5.
Hard Error: (display when 4 characters are entered, but the characters are
outside of the valid values range)
Interviewer Instruction (use blue font, precede with a diamond)
Respuesta no es válida - Usted debe entrar un valor entre 1000 y 9999.
Skip Instructions: Goto GCDCHECK
Last Modified: Friday, June 1, 2018
Page 586 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
GCDCHECK
Field
GEOCODING MODULE TAB .GCDCHECK
Description: Confirm New Codes
Form Pane Label:
SAS Name: GCDCHECK
Tag Name: GCDCHECK
Inherited Universe:
Universe: GCDCORRECT=2
Universe Description:
Question Text: Confirm that the codes below are correct. Back up to the appropriate screen to
make corrections, or enter 1 to continue with the interview.
Original geocodes provided for this case:
STCOU: [^PSU_Fill]
Tract: [^Tract_Fill]
Block: [^Block_Fill]
Updated Geocodes:
STCOU: [^NEWPSU_Fill]
Tract: [^NEWTract_Fill]
Block: [^NEWBlock_Fill]
Spanish Question Text:
Confirme que los códigos a continuación están correctos. Regrese a la
pantalla apropiada para hacer las correcciones o entre 1 para continuar con la
entrevista.
Códigos geográficos originales provistos para este caso:
STCOU: [^PSU_Fill]
Sector: [^Tract_Fill]
Bloque: [^Block_Fill]
Códigos Geográficos actualizados:
STCOU: [^NEWPSU_Fill]
Sector: [^NEWTract_Fill]
Bloque: [^NEWBlock_Fill]
Last Modified: Friday, June 1, 2018
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Attachment O - GQFQ Questionnaire
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fills: Block_Fill
Instructions: The Geocoded Block number for a GQ.
Fills: NEWPSU_Fill
Instructions: When the PSU is incorrect and it gets updated.
Fills: NEWTract_Fill
Instructions: When a Tract number is incorrect and it gets updated.
Fills: PSU_Fill
Instructions: State and County.
Fills: Tract_Fill
Instructions: The Geocoded Tract number for a GQ.
Fills: NEWBlock_Fill
Instructions: When a Block number is incorrect and it gets updated.
Type: Enumerated
Length: 1
Answer List: TContinue
Value:
Mnemonic:
Description:
1
Enter 1 to continue
Spanish
Value:
Mnemonic:
Description:
1
Entre 1 para continuar
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Valid Values: 1
Last Modified: Friday, June 1, 2018
Page 588 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
Fill Instructions
1. Use the appropriate values from the CASEID.in file:
[Fill 1: PSU (display all 5 characters, including leading zeroes)] ,
[Fill2: Tract (display all 6 characters, including leading zeroes)],
[Fill3: Block (display the first 4 characters, including leading zeroes)]
2. Use the appropriate values entered or confirmed on the prior screens:
[Fill4: NEWPSU (display all 5 characters, including leading zeroes)]
[Fill5: NEWTract (display all 6 characters, including leading zeroes)]
[Fill6: NEWBlock (display all 4 characters, including leading zeroes)]
(Spanish)
Fill Instructions: 1. Use the appropriate values from the CASEID.in file: [Fill 1: PSU
(display all 5 characters, including leading zeroes)] , [Fill2: Tract (display all 6
characters, including leading zeroes)], [Fill3: block (display the first 4 characters,
including leading zeroes)] 2. Use the appropriate values entered or confirmed on the
prior screens: [Fill4: NEWPSU (display all 5 characters, including leading zeroes)]
[Fill5: NEWTract (display all 6 characters, including leading zeroes)] [Fill6: NEWblock
(display all 4 characters, including leading zeroes)]
Array:
Special Instructions: 1. If GCDCHECK=1, set GeocodeCmplt=1.
2. If GCDCHECK=1 and FstFRCmplt=, then set FstFRCmplt= the USERID of
the FR working the case. If FstFRCmplt is not blank, then make no change to the
value of FstFRCmplt. The FstFRCmplt variable must be passed out via the
.out file and eventually passed up to ROSCO. ROSCO must then pass back
the value of FstFRCmplt to the case when the case is reassigned, and be passed into
the instrument via the .in file. FstFRCmplt should not be blanked out once it
has been filled with an USERID.
3. If GCDCHECK = 1, FstFRCmplt = , and FstFRReqd = , set
FstFRReqd = FstFRCmplt. If FstFRReqd = , then make no change to the
value of FstFRReqd.
Skip Instructions: goto Main Path
Last Modified: Friday, June 1, 2018
Page 589 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
SNDNOGCD
Field
GEOCODING MODULE TAB .SNDNOGCD
Description: Why not verified
Form Pane Label:
SAS Name: SNDNOGCD
Tag Name: SNDNOGCD
Inherited Universe:
Universe: GCDCORRECT = 4
Universe Description:
Question Text: Why did you not geocode the sample unit?
• Since a personal visit was made to this sample unit and this case is not a
Type A - 814, Type B, or Type C noninterview, geocoding is required. Your RO
will be notified that you are transmitting this case without geocoding.
• Please select a reason why the geocoding was not done
1. Did not geocode during personal visit-return visits were not made or
authorized.
2. [Fill1: ALMI dataset needed to geocode this sample unit was not
loaded./Device not connected to the network. Geographic (block) data needed
to geocode this sample unit was not loaded.]
3. [Fill2: ALMI/LiMA] software malfunction
4. [Fill 3: Streets on the ground are missing in theALMI ]
5. [Fill4: Can't locate the block boundary on the ground./]
6. GQ inaccessible due to weather or road conditions, or access refused
situations
Spanish Question Text:
¿Por qué no lleve a cabo la codificación geográfica para la unidad en la
muestra?
• Como se hizo una visita en persona a esta unidad en la muestra y este
caso no es de Tipo A -814, Tipo B o Tipo C, se requiere la codificación
geográfica. Su RO será notificada que usted está transmitiendo este caso sin
realizar la codificación geográfica.
• Por favor, seleccione una razón por la cual no se realizó la codificación
Last Modified: Friday, June 1, 2018
Page 590 of 592
Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
geográfica.
1. No se hizo la codificación geográfica durante la vista en persona: no se
volvió a visitar o no se autorizó que se volviera a visitar
2. [Fill 1: No se cargó el conjunto de datos ALMI necesario para codificar
geográficamente esta unidad en la muestra./ El aparato no está conectado a la
red (network). No se cargaron los datos geográficos (de bloques) necesarios
para realizar la codificación geográfica.]
3. Error del programa de computadora [Fill 2: ALMI/LiMA]
4. [Fill 3: Faltan las calles en el terreno en el ALMI/]
5. [Fill 4: No se puede localizar el límite de bloque en el terreno./] 6. GQ
inaccesibles debido a las condiciones climáticas o por carretera, o el acceso
negado situaciones.
Type: Integer
Length: 1
Min:
Max:
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: Fill Instructions
If lima_flag='No', then:
[Fill 1: ALMI dataset needed to geocode this sample unit was not loaded.]
[Fill2: ALMI]
[Fill3: Streets on the ground are missing in the ALMI]
[Fill4: Can't locate the block boundary on the ground]
If lima_flag='Yes', then:
[Fill 1: Device not connected to the network. Geographic (block) data needed to
geocode this sample unit was not loaded.]
[Fill2: LiMA]
[Fill3: ]
[Fill4:]
(Spanish)
Fill Instructions: 1. If lima_flag='No', then: [Fill 1: No se cargó el conjunto de datos
Last Modified: Friday, June 1, 2018
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Survey: ACS GQ LI 2023
Section: GEOCODING MODULE TAB
Attachment O - GQFQ Questionnaire
Blaise Item-Level Specifications Report
Spider Version 1.7.1
ALMI necesario para codificar geográficamente esta unidad en la muestra.] [Fill2:
ALMI] [Fill3: Faltan las calles en el terreno en el ALMI] [Fill4: No se puede localizar el
lÃ-mite de bloque en el terreno] 2. If lima_flag='Yes', then: [Fill 1: El aparato no está
conectado a la red (network). No se cargaron los datos geográficos (de bloques)
necesarios para realizar la codificación geográfica.] [Fill2: LiMA] [Fill3: ] [Fill4:]
Array:
Special Instructions: 1. For SNDNOGCD=<1-6> and Outcome in (807,808), set Outcome = STOREOUT.
2. If SNDNOGCD=<1-6> and FstSNDNOGCD= then set FstSNDNOGCD =
SNDNOGCD. FstSNDNOGCD is a one-character variable stored at the root level with
values 1-6. FstSNDNOGCD should be read in from the .in file, and should
be set to when the case is first created. If FstSNDNOGCD is ever set =
<1-6> in the instrument, then it must retain that value (should never be changed to
another value or changed to blank) and be passed out via the .out file and
eventually passed up to ROSCO. ROSCO must then pass back the value of
FstSNDNOGCD to the case when the case is reassigned and be passed into the
instrument via the .in file.
Skip Instructions: Set GeocodeCmplt = 1 and goto Mainpath
Last Modified: Friday, June 1, 2018
Page 592 of 592
| File Type | application/pdf |
| File Title | Attachment O - American Community Survey Group Quarters Facility Questionnaire and Listing Sheets 2025 |
| Author | U.S. Census Bureau |
| File Modified | 2024-03-15 |
| File Created | 2024-03-15 |