Data Cart

Your data extract

0 variables
0 samples
View Cart
A planned IPUMS system update is scheduled for Monday, December 9. The maintenance window is 10am to 1pm CST. Within that window, each site will have a brief outage of 10 or fewer minutes. This notice will be removed as soon as the update is complete.



hh
[p. 1]


2004 NHIS Questionnaire -- Household Composition
Household Composition

HHC.010_01.000

Instrument Variable Name: NAME_FNAME
Question Text:
[fill: What are the names of all the persons living or staying here?
Start with the name of the person, or one of the persons, who owns or rents this home.
/What is the name of the next person living or staying here?]
*Enter 999 if no more persons.
Universe Text: All persons
Skip Instructions:
(999) if PCNT = 0, [goto ERR1_NAME_FNAME]
elseif POS2 or POS3 ne 0, [goto HHRESP]
else, [goto MISPERS_MCHILD]
(allow 20,R,D) if name on fake/false name list
[goto ERR2_NAME_FNAME];
else [goto NAME_MNAME]

HHC.015_00.000

Instrument Variable Name: ALIAS
Question Text:
How shall I refer to [fill: you/this person] for the rest of the interview?
Universe Text: Persons who don't know or refused to give first or last name.
Skip Instructions:
(allow 41) [goto USUALRES]

HHC.020_00.000

Instrument Variable Name: USUALRES
Question Text:
[fill: Do you/Does ALIAS] usually live here?
1 Yes
2 No
7 Refusesd
9 Don't know
Universe Text: All non-deleted persons
Skip Instructions:
(1) [goto NAME_FNAME]
(2,R,D) [goto ASKURE]

[p. 2]

HHC.030_00.000

Instrument Variable Name: ASKURE
Question Text:
[fill1: Do you/Does ALIAS] have some other place where [fill2: he/she] usually lives?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: If the usual residence is not here, or 'don't know', or 'refused'.
Skip Instructions:
(1) [goto NOLIST]
(2, R, D) [goto NAME_FNAME]

HHC.035_00.000

Instrument Variable Name: NOLIST
Question Text:
Since [fill1: you do/ALIAS does] not usually live here and [fill2: have/has] another residence elsewhere, [fill3: you/he/she] will not be included in this interview.
*Enter (1) to continue to the next person.
1 To continue
Universe Text: Person living elsewhere
Skip Instructions:
[goto NAME_FNAME]

HHC.050_01.000

Instrument Variable Name: MISPERS_MCHILD
Question Text:
I have listed living here ...
[fill roster]
Have I missed any babies or small children?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: After completing household roster
Skip Instructions:
(1) empty out '999' in NAME_FNAME
empty out MISPERS_CHILD
empty out MISPERS_MLODGE
empty out MISPERS_MAWAY
empty out MISPERS_MELSE
[goto NAME_FNAME]
(2, R, D) goto MISPERS_MLODGE

[p. 3]

HHC.050_02.000

Instrument Variable Name: MISPERS_MLODGE
Question Text:
*Read if necessary.
I have listed living here ...
[fill roster]
Have I missed any lodgers, boarders, or persons you employ who live here?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Not missing any children or R or D
Skip Instructions:
(1) empty out '999' in NAME_FNAME
empty out MISPERS_CHILD
empty out MISPERS_MLODGE
empty out MISPERS_MAWAY
empty out MISPERS_MELSE
[goto NAME_FNAME]
(2,R,D) goto MISPERS_MAWAY

HHC.050_03.000

Instrument Variable Name: MISPERS_MAWAY
Question Text:
*Read if necessary.
I have listed living here...
[fill roster]
Have I missed anyone who USUALLY lives here, but is now away from home traveling or in a hospital?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: No 'lodgers' living here or R or D
Skip Instructions:
(1) empty out '999' in NAME_FNAME
empty out MISPERS_CHILD
empty out MISPERS_MLODGE
empty out MISPERS_MAWAY
empty out MISPERS_MELSE
[goto NAME_FNAME]
(2,R,D) goto MISPERS_MELSE

[p. 4]

HHC.050_04.000

Instrument Variable Name: MISPERS_MELSE
Question Text:
*Read if necessary.
I have listed living here...
[fill roster]
Have I missed anyone else staying here?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Nobody is away from home or R or D
Skip Instructions:
(1) empty out '999' in NAME_FNAME
empty out MISPERS_CHILD
empty out MISPERS_MLODGE
empty out MISPERS_MAWAY
empty out MISPERS_MELSE
[goto NAME_FNAME]
(2,R,D) if PCNT = 0, goto EXIT
elseif PCNT = 1
store Yes (1) in LIVEAT, goto OTHLIV
else goto LIVEAT

HHC.060_00.000

Instrument Variable Name: LIVEAT
Question Text:
Do all the persons I have listed live AND eat together?
*Read names if necessary. [fill roster]
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Person count is greater than one
Skip Instructions:
(1,R,D) [goto OTHLIV]
(2) [goto XACCESS]

[p. 5]

HHC.070_00.000

Instrument Variable Name: XACCESS
Question Text:
Do the people who do not live and eat here have direct access from the outside or through a common hallway to a separate living quarters?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Nobody is away from home or R or D
Skip Instructions:
(1) [goto TABX]
(2,R,D) [goto OTHLIV]

HHC.090_00.000

Instrument Variable Name: OTHLIV
Question Text:
Do members of any other household on the property live and eat with members of this household?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: All
Skip Instructions:
(1) [goto ERR_OTHLIV]
(2,R D) if PCNT = 1, [goto SEX]
else [goto HHRESP]


HHC.110_00.000

Instrument Variable Name: SEX
Question Text:
*Ask if not apparent.
*If don't know or refused enter your best guess.
[Are you/Is ALIAS] male or female?
1 Male
2 Female
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(1,2) [goto AGEDOB_1]

[p. 6]


HHC.120_01.000

Instrument Variable Name: AGEDOB_1
Question Text:
1 of 5
What is [fill: your/ALIAS's] age?
*Enter number for age.
01-120 Age in years
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(001-120) [goto AGEDOB_2]
(R,D) [goto AGEDOB_3]

HHC.120_02.000

Instrument Variable Name: AGEDOB_2
Question Text:
2 of 5
*Enter number for age time period.
1 Days
2 Weeks
3 Months
4 Years
Universe Text: Valid age - number entered
Skip Instructions:
(1-4) [goto AGEDOB_3]

[p. 7]


HHC.120_03.000

Instrument Variable Name: AGEDOB_3
Question Text:
3 of 5
And what is [fill: your/ALIAS's] date of birth?
Please give month, day, and year for the date of birth.
*Enter month of birth.
01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December
97 Refused
99 Don't know
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(1-12,R,D) [goto AGEDOB_4]

HHC.120_04.000

Instrument Variable Name: AGEDOB_4
Question Text:
2 of 5
4 of 5
*Enter day of birth
01-31 Day of the month
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(1-31,R,D)
Only allow valid days for month entered.
If days not valid, [goto ERR_AGEDOB_4]
ELSE [goto AGEDOB_5]

[p. 8]


HHC.120_05.000

Instrument Variable Name: AGEDOB_5
Question Text:
5 of 5
*Enter year of birth.
1880-2030 Year of birth
9997 Refused
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(1880 - 2030, R,D) [goto AGECAL]

HHC.124_00.000

Instrument Variable Name: DOBVER
Question Text:
There is a difference between the age the computer calculated from [fill: your/ALIAS's] date-of-birth and the age that you gave me.
I recorded [fill: your/ALIAS's] date-of-birth as [AGEDOB_3] [AGEDOB_4], [AGEDOB _5]. Is that [fill: your/ALIAS's] correct date-of-birth?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Age reported is not equal to age calculated from date of birth.
Skip Instructions:
(1,R,D) [goto INTWKCK1]
(2) [goto AGEDOB_3]

HHC.130_00.000

Instrument Variable Name: AGEPIC
Question Text:
[fill1: Are you/Would you say ALIAS is] [fill2: less than 1 year old/AGE3 years old?]
1 AGE=AGE3 (or less than 1 years old)
2 AGE=AGE4
3 Neither is correct
7 Refused
9 Don't know
Universe Text: Able to narrow age to two options
Skip Instructions:
(1,2) [goto INTWKCK1]
(3,R,D) if AGEDOB_1 = R, [goto AGEGES2]
elseif AGEDOB_1 = D, [goto AGEGES1_NUM]

[p. 9]

HHC.150_01.000

Instrument Variable Name: AGEGES1_NUM
Question Text:
1 of 2
What is your best guess of [fill: your/ALIAS's] age?
*If the respondent gives a range of ages, enter "C" to continue to the screen that will compute an age.
*If the respondent does not know the age, enter your best estimate of the person's age.
000-120 Age (number)
997 Refused
999 Don't know
C Compute from range
Universe Text: Age unknown and unable to narrow age down to two age choices and respondent did not refuse AGEDOB_1
Skip Instructions:
(0-120) [goto AGEGES1_TP]
elseif outside range, [goto ERR_AGEGES1_NUM]
(C) [goto AGERNG_N1]
(R,D) [goto AGEGES2]

HHC.150_02.000

Instrument Variable Name: AGEGES1_TP
Question Text:
2 of 2
*Enter time period for age guess.
3 Month(s)
4 Year(s)
Universe Text: Valid age number
Skip Instructions:
(3, 4) If AGEDOB_5 = D, [goto YEARPIC]
else [goto INTWKCK1]

HHC.152_00.000

Instrument Variable Name: AGEGES2
Question Text:
Certain sections of this interview depend on knowing if a person is 18 years old or older.
Could you please tell me if [fill: you are/ALIAS is] at least 18 years old?
1 Less than 18
2 18 or older
7 Refused
9 Don't know
Universe Text: (Age unknown and unable to narrow to two age choices and respondent refused or didn't know age at AGEDOB_1) or (Refused to or did not guess age)
Skip Instructions:
(1) [goto LESS18]
(2,R,D) [goto GREAT18]

[p. 10]

HHC.154_00.000

Instrument Variable Name: LESS18
Question Text:
*Enter your best estimate of [ALIAS's] age.
*Enter age "0" to 17
*Enter "0" if less than 1 year old.
000 Less than one year old
001 lt 17 1 to 17 years of age
Universe Text: Person estimated less than eighteen years of age
Skip Instructions:
(0-17) [goto AGEDOB_1, to collect information about next person in roster]
else, [goto INTWKCK1]

HHC.156_00.000

Instrument Variable Name: GREAT18
Question Text:
*Enter your best estimate of [ALIAS's] age.
*Enter age 18 or greater.
018-120 Age in years
Universe Text: Person estimated age (18 or older)
Skip Instructions:
(18-120) [goto AGEDOB_1, to collect information about next person in roster]
else, [goto INTWKCK1]

HHC.160_01.000

Instrument Variable Name: AGERNG_N1
Question Text:
1 of 4
*Enter lower age of the range in months or years.
000-120 Age in years
Universe Text: Computing age when not given the year the subject was born or the subject's age.
Skip Instructions:
(0-120) [goto AGERNG _T1]

HHC.160_02.000

Instrument Variable Name: AGERNG_T1
Question Text:
2 of 4
*Enter lower age time period.
3 Month(s)
4 Year(s)
Universe Text: First age number has been entered for range.
Skip Instructions:
goto AGERNG_N2

[p. 11]

HHC.160_03.000

Instrument Variable Name: AGERNG_N2
Question Text:
3 of 4
*Enter higher age of the range in months or years.
000-120 Age in years
Universe Text: First age number and time period has been entered for range.
Skip Instructions:
(0-120) [goto AGERNG _T2]

HHC.160_04.000

Instrument Variable Name: AGERNG_T2
Question Text:
4 of 4
*Enter higher age time period.
3 Month(s)
4 Year(s)
Universe Text: Second age number has been entered for range.
Skip Instructions:
If LOWER gt HIGHER, [goto ERR_AGERNG_T2]
(3,4) if AGEDOB_5 = Don't know, [goto YEARPIC]
else, [goto INTWKCK1]

HHC.165_01.000

Instrument Variable Name: YEARPIC
Question Text:
Would you say that [fill: you were/ALIAS was] born in:
1 Low guess for year born
2 High guess for year born
3 Neither is correct
7 Refused
9 Don't know
Universe Text: Person's age is known and birth year answered with 'don't know'
Skip Instructions:
(1,2,3,R,D) [goto AGEDOB_1, to collect information about next person in roster]
else, [goto INTWKCK1]

[p. 12]

HHC.165_03.000

Instrument Variable Name: INTWKCK
Question Text:
Was [ALIAS] born on or after [STARTDATE]?
1 Yes
2 No
Universe Text: Child's age = 0 and date of birth not known
Skip Instructions:
(1) [goto ERR_INTWKCK]
then, [goto AGEDOB_1 to collect information about next person in roster]
else, [goto NATOR]
(2) [goto AGEDOB_1 to collect information about next person in roster]
else, [goto NATOR]


HHC.170_00.000

Instrument Variable Name: NATOR
Question Text:
(book) H1. [fill1: Do you/Does ALIAS] consider [fill2: yourself/himself/herself] to be Hispanic or Latino?
*Read if necessary.
Puerto Rican
Cuban/Cuban American
Dominican (Republic)
Mexican
Mexican American
Central or South American
Other Latin American
Other Hispanic/Latino
Where did [your/ALIAS's] ancestors come from?
Card H1
You may choose more than one.

1. Puerto Rican
2. Cuban/Cuban American
3. Dominican (Republic)
4. Mexican
5. Mexican American
6. Central or South American
7. Other Latin American
8. Other Hispanic/Latino
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(1) [goto HISPAN]
(2,R,D) [goto NATOR for next person in roster]
else [goto RACE]

[p. 13]


HHC.180_01.000

Instrument Variable Name: HISPAN
Question Text:
(book) H1
Please give me the number of the group that represents [fill: your/ ALIAS's] Hispanic origin or ancestry.
You may choose up to five (5), if applicable.
*If a nonhispanic group is named, backup to previous screen and change the answer from "yes" to "no".
Enter all that apply, separate with commas.
01 Puerto Rican
02 Cuban/Cuban American
03 Dominican (Republic)
04 Mexican
05 Mexican American
06 Central or South American
07 Other Latin American
08 Other Hispanic/Latino/Spanish
97 Refused
99 Don't know
Card H1
You may choose more than one.

1. Puerto Rican
2. Cuban/Cuban American
3. Dominican (Republic)
4. Mexican
5. Mexican American
6. Central or South American
7. Other Latin American
8. Other Hispanic/Latino
Universe Text: National origin was answered yes to being Hispanic or Latino
Skip Instructions:
(1-6) [goto NATOR (for the next person)] else [goto RACE]
(7) [goto HIS_SP2]
(8) [goto HIS_SP3]


HHC.190_00.000

Instrument Variable Name: HIS_SP2
Question Text:
*Probe for the country.
*If any of the following are mentioned, backup to previous screen and correct the entry.
Puerto Rican
Cuban/Cuban American
Dominican (Republic)
Mexican
Mexican American
Central or South American (REFER TO HELP SCREEN)
*(F1) For a list of Central or South American countries.
*Specify the other Latin American.
Universe Text: HISPAN answered from selection 7 for Hispanic origin.
Skip Instructions:
(allow 30) [goto NATOR (for the next person)]
else [goto RACE]

[p. 14]

HHC.195_00.000

Instrument Variable Name: HIS_SP3
Question Text:
*Probe for the country.
*If any of the following are mentioned, backup to previous screen and correct the entry.
Puerto Rican
Cuban/Cuban American
Dominican (Republic)
Mexican
Mexican American
Central or South American (REFER TO HELP SCREEN)
*(F1) For a list of Central or South American countries.
*Specify the other Hispanic/Latino.
Universe Text: HISPAN answer from selection 8 (other Hispanic/Latino) origi
Skip Instructions:
(allow 30) [goto NATOR (for the next person)]
else [goto RACE]

[p. 15]


HHC.200_01.000

Instrument Variable Name: RACE
Question Text:
(Book) H2
What race or races [fill1: Do you/Does ALIAS] consider [fill2: yourself/himself/herself] to be? Please select 1 or more of these categories.
*Enter all that apply, separate with commas.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiin
06 Guamanian
07 Samoan
08 Other Pacific Islander
09 Asian Indian
10 Chinese
11 Filipino
12 Japanese
13 Korean
14 Vietnamese
15 Other Asian
16 Some other race
97 Refused
99 Don't know
Card H2
You may choose more than one.

1. White
2. Black/African American
3. Indian (American)
4. Alaska Native
5. Native Hawaiian
6. Guamanian
7. Samoan
8. Other Pacific Islander
9. Asian Indian
10. Chinese
11. Filipino
12. Japanese
13. Korean
14. Vietnamese
15. Other Asian
Universe Text: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
Skip Instructions:
(1-7, 9-14) If more than one selected, [goto MLTRAC, then goto RACE for next person in roster]
else [goto NOWAF_A]
(8) [goto RAC_SP1]
(15) [goto RAC_SP2]
(16) [goto RAC_SP3]
(R,D) [goto RACE, for the next person in roster]
else [goto NOWAF_A]

[p. 16]


HHC.210_00.000

Instrument Variable Name: RAC_SP1
Question Text:
*Specify the other pacific islander.
REM *If any of the following are mentioned, go back to RACE screen to correct.
*If the respondent's answer could not be found, clear entry, type 'ZZ'.
White
Black/African American
Indian (American)
Alaska Native
Native Hawaiian
Guamanian
Samoan
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
*If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
Universe Text: RACE= 8 (other Pacific Islander)
Skip Instructions:
(allow 30) If more than one selected, [goto MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [goto RACE for next person on the roster]
else [goto NOWAF_A]

HHC.212_00.000

Instrument Variable Name: RAC_SP2
Question Text:
*Specify the other Asian.
*If any of the following are mentioned, backup to previous item and correct the entry.
White
Black/African American
Indian (American)
Alaska Native
Native Hawaiian
uamanian
Samoan
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
*If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
Universe Text: RACE = other Asian listed
Skip Instructions:
(allow 30) If more than one selected [goto MLTRAC]
then [goto RACE] for next person on the roster
else [goto NOWAF_A]

HHC.214_00.000

Instrument Variable Name: RAC_SP3
Question Text:
*Specify the other race.
*If any of the following are mentioned, backup to previous item and correct the entry.
White
Black/African American
Indian (American)
Alaska Native
Native Hawaiian
Guamanian
Samoan
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
*If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
Universe Text: RACE answered some other race.
Skip Instructions:
(30 chars long) If more than one selected [goto MLTRAC] then [goto RACE] for next person on the roster
Else [goto NOWAF_A ]

HHC.220_00.000

Instrument Variable Name: MLTRAC
Question Text:
Which one of these groups, that is [Read Groups] would you say BEST represents [fill: your/ALIAS's] race?
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian
07 Samoan
08 Other Pacific Islander
09 Asian Indian
10 Chinese
11 Filipino
12 Japanese
13 Korean
14 Vietnamese
15 Other Asian
16 Other Race
97 Refused
99 Don't know
Universe Text: More than on race entered
Skip Instructions:
(1-16,R,D) [goto NOWAF_A]
else, [goto ERR_MLTRAC]

[p. 18]


HHC.230_01.000

Instrument Variable Name: NOWAF_A
Question Text:
[fill: Is anyone in the household/Are you/Is ALIAS] now on full-time active duty with the Armed Forces?
[display eligible persons]
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: If household contains 1 or more persons 18-64 years old
Skip Instructions:
If no person eq (18-64) years of age [goto EXIT]
( 2,R,D) if POS2 or POS3 ne 0, [goto ADC]
else [goto HHREF_A]
if NOWAF_A eq (1) and ADULTCNT eq (1) [goto EXIT]
else [goto NOWAF2_B]


HHC.230_03.000

Instrument Variable Name: NOWAF2_B
Question Text:
Who is this? (Anyone else)
*Enter line numbers as appropriate.
*Enter all that apply, separate with commas.
1 Armed Forces
2 Not Armed Forces
7 Refused
Universe Text: At least 1 person in the AF and more than 1 person eligible to be in the AF
Skip Instructions:
(1-25) if all PX have HHSTAT = D or HHSTAT3 = A [goto EXIT]
elseif POS2 and POS3 ne 0 [goto ADC]
else [goto HHREF_A]
Invalid person # selected [goto ERR_NOWAF2_B]

HHC.240_00.000

Instrument Variable Name: EXIT
Question Text:
Not every household in our survey is asked all questions. I have all the information about your household that I need at this time. Thank you for your assistance.
*Enter (1) to proceed.
1 Proceed
Universe Text: All persons are in the Armed Forces or everybody is either deleted or in the AF or All non-Armed Forces persons are not Black or Hispanic and not marked for an interview
Skip Instructions:
(1) [goto VISITCNT]

[p. 19]

HHC.250_01.000

Instrument Variable Name: HHREF_A
Question Text:
*[fill: You have/ALIAS has] has been selected as the household reference person. Is this household member an appropriate choice? Preferably a civilian adult?
[Display all non-deleted household members ge 14 years of age]
*Press shift F1 to see full roster information.
1 Yes
2 No
Universe Text: If more than one non-deleted person in the HH
Skip Instructions:
(1) [goto RPREL]
(2) [goto HHREF_B]

[p. 20]


HHC.260_00.000

Instrument Variable Name: RPREL
Question Text:
(book) H3.
What is [fill1: your/ALIAS's] relationship to [fill2: Reference Person's name/you]
01 Household reference person
02 Spouse (husband/wife)
03 Unmarried Partner
04 Child (biological/adoptive/in-law/step/foster)
05 Child of partner
06 Grandchild
07 Parent (biological/adoptive/in-law/step/foster)
08 Brother/sister (biological/adoptive/in-law/step/foster)
09 Grandparent (Grandmother/Grandfather)
10 Aunt/Uncle
11 Niece/Nephew
12 Other relative
13 Housemate/roommate
14 Roomer/Boarder
15 Other nonrelative
16 Legal guardian
17 Ward
97 Refused
99 Don't know
Card H3
2. Spouse (husband/wife)
3. Unmarried Partner
4. Child (biological/adoptive/in-law/step/foster)
5. Child of Partner
6. Grandchild
7. Parent (biological/adoptive/in-law/step/foster)
8. Brother/Sister (biological/adoptive/in-law/step/foster)
9. Grandparent (Grandmother/Grandfather)
10. Aunt/Uncle
11. Niece/Nephew
12. Other relative
13. Housemate/Roommate
14. Roomer/Boarder
15. Other nonrelative
16. Legal Guardian
17. Ward
Universe Text: All where RPREL NE Reference Person
Skip Instructions:
Loop through all non-deleted PX
(2, 3) if selected for more than one PX [goto ERR4_RPREL]
elseif AGE lt 14 [goto ERR1_RPREL]
(4) [goto DEGREE1]
(5) if loop is completed and no PX has RPREL = 3 [goto ERR5_RPREL] endif
(6) if AGEDIFF lt 25 [goto ERR2_RPREL] endif
(7) [goto DEGREE2]
(8) [goto DEGREE3]
(9) if AGEDIFF lt 25 [goto ERR3_RPREL] endif
(10-17,R,D) end loop
if UNRELTAL gt 1 [GOTO FAMNUM]
else [goto HHCHANGE]

[p. 21]

HHC.270_00.000

Instrument Variable Name: DEGREE1
Question Text:
[fill1: Are you/Is ALIAS] [fill2: Reference Person's name's/your] biological (natural), adoptive, step, or foster [fill3: son/daughter] or [fill4: son/daughter]-in-law?
1 Biological (natural) {son/daughter]
2 Adoptive {son/daughter}
3 Step {son/daughter]
4 Foster {son/daughter}
5 {son/daughter]-in-law
7 Refused Refused
9 Don't know
Universe Text: RPREL=(4) child
Skip Instructions:
(1) if AGEDIFF lt 12 [goto ERR1_DEGREE1]
else [goto RPREL]
(2-5,R,D) [goto RPREL]

HHC.280_00.000

Instrument Variable Name: DEGREE2
Question Text:
[fill1: Are you/Is ALIAS] [fill2: Reference Person's name's/your] biological (natural), adoptive, step, or foster [fill3: mother/father] or [fill4: mother/father]-in-law?
1 Biological (natural) {mother/father]
2 Adoptive {mother/father}
3 Step {mother/father]
4 Foster {mother/father}
5 {mother/father]-in-law
7 Refused
9 Don't know
Universe Text: RPREL=(7) parent
Skip Instructions:
(1) if AGEDIFF lt 12 [goto ERR_DEGREE2]
elseif additional PX's remain [goto RPREL]
elseif UNRELTAL gt 1 [goto FAMNUM]
else [goto HHCHANGE]
(2-5,R,D) if additional PX's remain [goto RPREL]
elseif UNRELTAL gt 1 [goto FAMNUM]
else [goto HHCHANGE]

[p. 22]

HHC.290_01.000

Instrument Variable Name: DEGREE3
Question Text:
[fill1: Are you/Is ALIAS] [fill2: Reference Person's name's/your] full, half, adoptive, step, or foster [fill3: brother/sister] or [fill4: brother/sister]-in-law?
1 Full {brother/sister}
2 Half {brother/sister}
3 Adopted {brother/sister}
4 Step {brother/sister]
5 Foster {brother/sister}
6 {brother/sister]-in-law
7 Refused
9 Don't know
Universe Text: All siblings
Skip Instructions:
(1-6,R,D) [goto RPREL]

HHC.385_00.00

Instrument Variable Name: HHRESP
Question Text:
*Ask if necessary
With whom am I speaking?
*Enter the line number of the respondent. If more than one, enter the number of the one you consider to be the main respondent.
Universe Text: All households with more than one nondeleted person in parent cases or more than one nondeleted person in spawn cases and no household/family demographic respondent identified yet.
Skip Instructions:
(1-25)
If deleted PX [goto ERR1_HHRESP]
elseif out of bound [goto ERR2_HHRESP]
elseif ADC = 1 [goto HHREF_A]
else [goto SEX]

[p. 1]


2004 NHIS Questionnaire -- Recontact
Recontact


REC.131_00.000

Instrument Variable Name: TELCEL
Question Text:
Does anyone in your family have a working cellular telephone?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: All responding families
Skip Instructions:
(1) [goto WRKCEL]
(2, R,D) if TELENUM = N orTELECHG = R,D [goto RNOSERV]
else if TELECHK = 1,R,D or TELECHG ne R,D,empty [goto TELDIRC]


REC.132_00.000

Instrument Variable Name: WRKCEL
Question Text:
How many working cellular telephones do people in your family have?
01-10 1-10
97 Refused
99 Don't know
Universe Text: Responding families with a working cellular telephone
Skip Instructions:
(1-10,R,D) if TELECHG = R,D or TELENUM = N [goto CURWRK]
else if TELECHK = 1,R,D or TELECHG ne R,D,empty [goto VCELNUM]

REC.133_00.000

Instrument Variable Name: VCELNUM
Question Text:
Is [fill1: Telephone number given previously] the telephone number for [fill2: the cellular phone/one of the cellular phones]?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Families who report number of cellular phones or who refuse or don't know number of cellular phones, and have given a valid phone number
Skip Instructions:
(1,R,D) [goto CURWRK]
(2) [goto TELDIRC]

[p. 2]


REC.134_00.000

Instrument Variable Name: CURWRK
Question Text:
Is there at least one telephone INSIDE your home that is currently working and is not a cellular telephone?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Families who report their home phone number as (one of) their cellular phone number, or who refuse or don't know this information
Skip Instructions:
(1) if TELECHK = 1,R,D or TELECHG ne R,D,empty [goto TELHOME]
elseif TELENUM = N or TELECHG = R,D [goto RNOSERV]
(2, Refused, Don't know) goto RNOSERV

REC.135_00.000

Instrument Variable Name: TELHOME
Question Text:
What is the telephone number for your home telephone?
*Read if necessary.
Home telephone refers to the phone that is not your cellular phone.
2000000000-9999999996 Telephone number
9999999997 Refused
9999999999 Don't know
Universe Text: Families with at least one cellular phone and have a working telephone that is not a cellular phone
Skip Instructions:
(2000000000 - 9999999999) [goto TELDIRC]
(R,D) [goto RNOSERV]
(0 - 1999999999) [goto ERR_TELHOME]

REC.136_00.000

Instrument Variable Name: TELDIRC
Question Text:
[fill: Is the number just mentioned listed in the telephone directory?/Is this phone number listed in the telephone directory?]
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: Families with no cellular phone but who have a home phone or who have a cellular phone, but its number was not the phone number given previously as the home phone number or who have a valid phone number for a home phone that is currently working and is not a cellular phone
Skip Instructions:
(1) [goto TELST]
(2,R,D) [goto RNOSERV]

[p. 3]

REC.141_00.000

Instrument Variable Name: RNOSERV
Question Text:
Not including cellular telephones, has your family been without telephone service for more than one week during the past 12 months?
1 Yes
2 No
7 Refused
9 Don't know
Universe Text: All responding familes
Skip Instructions:
(1,2,R,D) goto MOVE

hh