R/E Vertical Question Testing Instrument
Start of Block: Start Block
Intro Thank you for agreeing to participate in this research study. On the next screen, you will be asked to begin filling out a short questionnaire. After you have filled out the questionnaire for yourself and others in your household, we will talk about your answers.
End of Block: Start Block
Start of Block: Default Question Block
Privacy Act
Statement: By law, the Census Bureau is required to keep your
answers confidential. This survey is voluntary and you may refuse to
answer any question. The results of this study may be used to inform
future surveys and censuses. This collection has been approved by the
Office of Management and Budget (OMB). This eight-digit OMB approval
number, 0607-0725, confirms this approval. We are required to display
this number to conduct this survey. We estimate that this survey will
take about xx minutes. By proceeding with this study, you give your
consent to participate in this study.
The U.S. Census
Bureau is conducting this study under the authority of 13 U.S.C.,
Sections 131, 141, , 182, 193, and 196. Your privacy is protected by
the Privacy Act of 1974 (5 U.S.C. Section 552a). There are a limited
number of uses of your data that are permitted under the Privacy Act.
You can find a list of these uses in the System of Records Notice
(SORN). For this survey, the SORNs are named: COMMERCE/Census -3,
Demographic Survey Collection (Census Bureau Sampling Frame);
COMMERCE/CENSUS-5, Decennial Census Programs; and COMMERCE/CENSUS-4,
Economic Survey Collections.
Page Break |
|
|
|
Number in HH
This questionnaire is similar to what you might receive as part of
a government survey. Please answer the questions as you would if you
were answering from the home where you live or stay most of the
time.
1. How many people were living or staying in this
house, apartment, or mobile home on April 1, 2023?
________________________________________________________________
End of Block: Default Question Block
Start of Block: Vertical R/E
|
P1a Name
Please provide information for each person living here. Please
start by listing yourself.
2. What is your name? Type
your name below.
First name (1) __________________________________________________
MI (2) __________________________________________________
Last name (3) __________________________________________________
|
|
P1a Sex 3. Are you male or female?
Male (1)
Female (2)
|
P1a Age 4. What is your age and what is your date of birth?
Age on April 1, 2023 (1) __________________________________________________
Date of birth (mm/dd/yyyy) (2) __________________________________________________
Page Break |
|
|
|
P1a Race
Ethnicity 5. What is your race and/or ethnicity? (Help)
Select all that apply.
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
German (2)
Irish (3)
English (4)
Italian (5)
Polish (6)
French (7)
Enter, for example, Scottish, Norwegian, Dutch, etc. (8) __________________________________________________
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (9)
Mexican or Mexican American (10)
Puerto Rican (11)
Cuban (12)
Salvadoran (13)
Dominican (14)
Colombian (15)
Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. (16) __________________________________________________
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (17)
African American (18)
Jamaican (19)
Haitian (20)
Nigerian (21)
Ethiopian (22)
Somali (23)
Enter, for example, Ghanaian, South African, Barbadian, etc. (24) __________________________________________________
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (25)
Chinese (26)
Filipino (27)
Asian Indian (28)
Vietnamese (29)
Korean (30)
Japanese (31)
Enter, for example, Pakistani, Cambodian, Hmong, etc. (32) __________________________________________________
American Indian or Alaska NativeFor example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc. (33) __________________________________________________
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (34)
Lebanese (35)
Iranian (36)
Egyptian (37)
Syrian (38)
Moroccan (39)
Israeli (40)
Enter, for example, Algerian, Iraqi, Kurdish, etc. (41) __________________________________________________
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (42)
Native Hawaiian (43)
Samoan (44)
Chamorro (45)
Tongan (46)
Fijian (47)
Marshallese (48)
Enter, for example, Palauan, Tahitian, Chuukese, etc. (49) __________________________________________________
Page Break |
|
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 2
|
P2a Name 6.
Type name of Person 2.
First name (1) __________________________________________________
MI (2) __________________________________________________
Last name (3) __________________________________________________
Page Break |
|
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 2
|
|
P2a Relationship 7. How is ${P2a Name/ChoiceTextEntryValue/1} related to you?
Opposite-sex husband/wife/spouse (1)
Opposite-sex unmarried partner (2)
Same-sex husband/wife/spouse (3)
Same-sex unmarried partner (4)
Biological son or daughter (5)
Adopted son or daughter (6)
Stepson or stepdaughter (7)
Brother or sister (8)
Father or mother (9)
Grandchild (10)
Parent-in-law (11)
Son-in-law or daughter-in-law (12)
Other relative (13)
Roommate or housemate (14)
Foster child (15)
Other non-relative (16)
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 2
|
|
P2a Sex 8. What is ${P2a Name/ChoiceTextEntryValue/1}'s sex?
Male (1)
Female (2)
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 2
|
P2a Age 9.
What is ${P2a
Name/ChoiceTextEntryValue/1}'s age and date of
birth?
For babies less than 1 year old, do not type
the age in months. Type 0 as the age.
Age on April 1, 2023 (1) __________________________________________________
Date of birth (mm/dd/yyyy) (2) __________________________________________________
Page Break |
|
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 2
|
|
P2a Race
Ethnicity 10. What is ${P2a
Name/ChoiceTextEntryValue/1}'s race and/or ethnicity?
(Help)
Select all that apply.
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
German (2)
Irish (3)
English (4)
Italian (5)
Polish (6)
French (7)
Enter, for example, Scottish, Norwegian, Dutch, etc. (8) __________________________________________________
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (9)
Mexican or Mexican American (10)
Puerto Rican (11)
Cuban (12)
Salvadoran (13)
Dominican (14)
Colombian (15)
Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. (16) __________________________________________________
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (17)
African American (18)
Jamaican (19)
Haitian (20)
Nigerian (21)
Ethiopian (22)
Somali (23)
Enter, for example, Ghanaian, South African, Barbadian, etc. (24) __________________________________________________
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (25)
Chinese (26)
Filipino (27)
Asian Indian (28)
Vietnamese (29)
Korean (30)
Japanese (31)
Enter, for example, Pakistani, Cambodian, Hmong, etc. (32) __________________________________________________
American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc. (33) __________________________________________________
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (34)
Lebanese (35)
Iranian (36)
Egyptian (37)
Syrian (38)
Moroccan (39)
Israeli (40)
Enter, for example, Algerian, Iraqi, Kurdish, etc. (41) __________________________________________________
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (42)
Native Hawaiian (43)
Samoan (44)
Chamorro (45)
Tongan (46)
Fijian (47)
Marshallese (48)
Enter, for example, Palauan, Tahitian, Chuukese, etc. (49) __________________________________________________
Page Break |
|
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 3
|
P3a Name 11.
Type name of Person 3.
First name (1) __________________________________________________
MI (2) __________________________________________________
Last name (3) __________________________________________________
Page Break |
|
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 3
|
|
P3a Relationship 12. How is ${P3a Name/ChoiceTextEntryValue/1} related to you?
Opposite-sex husband/wife/spouse (1)
Opposite-sex unmarried partner (2)
Same-sex husband/wife/spouse (3)
Same-sex unmarried partner (4)
Biological son or daughter (5)
Adopted son or daughter (6)
Stepson or stepdaughter (7)
Brother or sister (8)
Father or mother (9)
Grandchild (10)
Parent-in-law (11)
Son-in-law or daughter-in-law (12)
Other relative (13)
Roommate or housemate (14)
Foster child (15)
Other non-relative (16)
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 3
|
|
P3a Sex 13. What is ${P3a Name/ChoiceTextEntryValue/1}'s sex?
Male (1)
Female (2)
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 3
|
P3a Age 14.
What is ${P3a
Name/ChoiceTextEntryValue/1}'s age and date of
birth?
For babies less than 1 year old, do not type
the age in months. Type 0 as the age.
Age on April 1, 2023 (1) __________________________________________________
Date of birth (mm/dd/yyyy) (2) __________________________________________________
Page Break |
|
Display This Question:
If If This questionnaire is similar to what you might receive as part of a government survey. Please answer the questions as you would if you were answering from the home where you live or stay most of t... Text Response Is Greater Than or Equal to 3
|
|
P3a Race
Ethnicity 15. What is ${P3a
Name/ChoiceTextEntryValue/1}'s race and/or ethnicity?
(Help)
Select all that apply.
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
German (2)
Irish (3)
English (4)
Italian (5)
Polish (6)
French (7)
Enter, for example, Scottish, Norwegian, Dutch, etc. (8) __________________________________________________
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (9)
Mexican or Mexican American (10)
Puerto Rican (11)
Cuban (12)
Salvadoran (13)
Dominican (14)
Colombian (15)
Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. (16) __________________________________________________
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (17)
African American (18)
Jamaican (19)
Haitian (20)
Nigerian (21)
Ethiopian (22)
Somali (23)
Enter, for example, Ghanaian, South African, Barbadian, etc. (24) __________________________________________________
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (25)
Chinese (26)
Filipino (27)
Asian Indian (28)
Vietnamese (29)
Korean (30)
Japanese (31)
Enter, for example, Pakistani, Cambodian, Hmong, etc. (32) __________________________________________________
American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc. (33) __________________________________________________
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (34)
Lebanese (35)
Iranian (36)
Egyptian (37)
Syrian (38)
Moroccan (39)
Israeli (40)
Enter, for example, Algerian, Iraqi, Kurdish, etc. (41) __________________________________________________
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (42)
Native Hawaiian (43)
Samoan (44)
Chamorro (45)
Tongan (46)
Fijian (47)
Marshallese (48)
Enter, for example, Palauan, Tahitian, Chuukese, etc. (49) __________________________________________________
Q97
Do
not click NEXT until your interviewer asks and moves on to the
next page with you together.
End of Block: Vertical R/E
Start of Block: Probing Screens
Q89 Thank you
for your participation in our study. Please turn your attention back
to your interviewer.
Do not click NEXT until your
interviewer asks and moves on to the next page with you together.
|
|
Vertical Main
Probe Now I'd like to review and discuss the questions. Please look
at your answer to the question below.
5. What is your
race and/or ethnicity? (Help)
Select all that apply.
You selected:
${P1a
Race Ethnicity/ChoiceGroup/SelectedChoices}
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (2)
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (3)
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (4)
American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc. (5)
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (6)
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (7)
Q90
Do
not click NEXT until your interviewer asks and moves on to the
next page with you together.
Page Break |
|
Q91 TEXT TO INSTRUCT THEM TO CLICK THE CATEGORIES THEY SELECTED
|
|
Vertical Full
Probe 5. What is your race and/or ethnicity? (Help)
Select all that apply.
You selected or
entered:
${P1a Race
Ethnicity/ChoiceGroup/SelectedChoicesTextEntry}
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
German (2)
Irish (3)
English (4)
Italian (5)
Polish (6)
French (7)
Enter, for example, Scottish, Norwegian, Dutch, etc. (8) __________________________________________________
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (9)
Mexican or Mexican American (10)
Puerto Rican (11)
Cuban (12)
Salvadoran (13)
Dominican (14)
Colombian (15)
Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. (16) __________________________________________________
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (17)
African American (18)
Jamaican (19)
Haitian (20)
Nigerian (21)
Ethiopian (22)
Somali (23)
Enter, for example, Ghanaian, South African, Barbadian, etc. (24) __________________________________________________
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (25)
Chinese (26)
Filipino (27)
Asian Indian (28)
Vietnamese (29)
Korean (30)
Japanese (31)
Enter, for example, Pakistani, Cambodian, Hmong, etc. (32) __________________________________________________
American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc. (33) __________________________________________________
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (34)
Lebanese (35)
Iranian (36)
Egyptian (37)
Syrian (38)
Moroccan (39)
Israeli (40)
Enter, for example, Algerian, Iraqi, Kurdish, etc. (41) __________________________________________________
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (42)
Native Hawaiian (43)
Samoan (44)
Chamorro (45)
Tongan (46)
Fijian (47)
Marshallese (48)
Enter, for example, Palauan, Tahitian, Chuukese, etc. (49) __________________________________________________
Q92
Do
not click NEXT until your interviewer asks and moves on to the
next page with you together.
Page Break |
|
AltB Intro TEXT TO INTRODUCE ALTERNATE OF RACE/ETHNICITY VERSION B HERE
|
|
AltB RE 5.
What is your race and/or ethnicity? (Help)
Select all that apply.
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (2)
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (3)
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (4)
American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat, Tribal Government, Tlingit, etc. (5)
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (6)
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (7)
Page Break |
|
Display This Question:
If If 5. What is your race and/or ethnicity? (Help) Select all that apply. q://QID75/SelectedChoicesCount Is Greater Than 0
|
AltB RE FU Intro 5a. Next, we will collect detailed information for each race or ethnicity selected.
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>White</strong> <em>For example, German, Irish, English, Italian, Polish, French, etc.</em>
|
|
AltB White
detail You said that you are White. Provide details below.
Select all that apply.
German (1)
Irish (2)
English (3)
Italian (4)
Polish (5)
French (6)
Enter, for example, Scottish, Norwegian, Dutch, etc. (7) __________________________________________________
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>Hispanic or Latino</strong> <em>For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc.</em>
|
|
AltB Hispanic
detail You said that you are Hispanic or Latino. Provide details
below.
Select all that apply.
Mexican or Mexican American (1)
Puerto Rican (2)
Cuban (3)
Salvadoran (4)
Dominican (5)
Colombian (6)
Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. (7) __________________________________________________
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>Black or African American</strong> <em>For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.</em>
|
|
AltB Black AA
detail You said that you are Black or African American. Provide
details below.
Select all that apply.
African American (1)
Jamaican (2)
Haitian (3)
Nigerian (4)
Ethiopian (5)
Somali (6)
Enter, for example, Ghanaian, South African, Barbadian, etc. (7) __________________________________________________
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>Asian</strong> <em>For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc.</em>
|
|
AltB Asian
detail You said that you are Asian. Provide details below.
Select all that apply.
Chinese (1)
Filipino (2)
Asian Indian (3)
Vietnamese (4)
Korean (5)
Japanese (6)
Enter, for example, Pakistani, Cambodian, Hmong, etc. (7) __________________________________________________
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>American Indian or Alaska Native</strong> <em>For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat, Tribal Government, Tlingit, etc.</em>
AltB AIAN detail You said that you are American Indian or Alaska Native. Please enter, for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc.
________________________________________________________________
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>Middle Eastern or North African</strong> <em>For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc.</em>
|
|
AltB MENA
detail You said that you are Middle Eastern or North African.
Provide details below.
Select all that apply.
Lebanese (1)
Iranian (2)
Egyptian (3)
Syrian (4)
Moroccan (5)
Israeli (6)
Enter, for example, Algerian, Iraqi, Kurdish, etc. (7) __________________________________________________
Display This Question:
If 5. What is your race and/or ethnicity? (Help)Select all that apply. = <strong>Native Hawaiian or Pacific Islander</strong> <em>For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.</em>
|
|
AltB NHPI
detail You said that you are Native Hawaiian or Pacific
Islander. Provide details below.
Select all that
apply.
Native Hawaiian (1)
Samoan (2)
Chamorro (3)
Tongan (4)
Fijian (5)
Marshallese (6)
Enter, for example, Palauan, Tahitian, Chuukese, etc. (7) __________________________________________________
Q95
Do
not click NEXT until your interviewer asks and moves on to the
next page with you together.
Page Break |
|
Q94 INTRO TEXT FOR HELP PROBE TASK
|
|
Q93 5. What
is your race and/or ethnicity? (Help)
Select all that apply.
White For example, German, Irish, English, Italian, Polish, French, etc. (1)
German (2)
Irish (3)
English (4)
Italian (5)
Polish (6)
French (7)
Enter, for example, Scottish, Norwegian, Dutch, etc. (8) __________________________________________________
Hispanic or Latino For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. (9)
Mexican or Mexican American (10)
Puerto Rican (11)
Cuban (12)
Salvadoran (13)
Dominican (14)
Colombian (15)
Enter, for example, Guatemalan, Spaniard, Ecuadorian, etc. (16) __________________________________________________
Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. (17)
African American (18)
Jamaican (19)
Haitian (20)
Nigerian (21)
Ethiopian (22)
Somali (23)
Enter, for example, Ghanaian, South African, Barbadian, etc. (24) __________________________________________________
Asian For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. (25)
Chinese (26)
Filipino (27)
Asian Indian (28)
Vietnamese (29)
Korean (30)
Japanese (31)
Enter, for example, Pakistani, Cambodian, Hmong, etc. (32) __________________________________________________
American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Tribal Government, Tlingit, etc. (33) __________________________________________________
Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Israeli, etc. (34)
Lebanese (35)
Iranian (36)
Egyptian (37)
Syrian (38)
Moroccan (39)
Israeli (40)
Enter, for example, Algerian, Iraqi, Kurdish, etc. (41) __________________________________________________
Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. (42)
Native Hawaiian (43)
Samoan (44)
Chamorro (45)
Tongan (46)
Fijian (47)
Marshallese (48)
Enter, for example, Palauan, Tahitian, Chuukese, etc. (49) __________________________________________________
Q96
Do
not click NEXT until your interviewer asks and moves on to the
next page with you together.
End of Block: Probing Screens
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | R/E Vertical Question Testing Instrument |
Author | Qualtrics |
File Modified | 0000-00-00 |
File Created | 2025-08-12 |