2010 NHIS Questionnaire -
Household
Document Version Date: 16-Apr-11
Instrument Variable Name: NAME_FNAME
QuestionText:
QuestionText:
[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.
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.
UniverseText: All persons
SkipInstructions:
SkipInstructions:
(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]
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]
Instrument Variable Name: NAME_MNAME
QuestionText:
QuestionText:
* Enter Middle Name.
* Probe for middle name or middle initial if not reported.
* Press "ENTER" t o skip to last name if no middle name.
* Probe for middle name or middle initial if not reported.
* Press "ENTER" t o skip to last name if no middle name.
UniverseText: First name is not blank
SkipInstructions:
SkipInstructions:
(allow 20, R,D, null) GOTO NAME_LNAME
Instrument Variable Name: NAME_LNAME
QuestionText:
QuestionText:
* If last name is the same as displayed, press "ENTER", otherwise, enter the new last name.
*Enter Last Name.
*Enter Last Name.
UniverseText: There is a name entered for 'first name'
SkipInstructions:
SkipInstructions:
(999) GOTO ERR1_NAME_FNAME
(allow 20, R,D) if name on fake/false name list
goto ERR2_NAME_LNAME
else if NAME_FNAME and NAME_LNAME ne D, R
Set AL IAS = NAME_FNAME( )NAME _LNAME,
goto USUALRES
else goto ALIAS
(allow 20, R,D) if name on fake/false name list
goto ERR2_NAME_LNAME
else if NAME_FNAME and NAME_LNAME ne D, R
Set AL IAS = NAME_FNAME( )NAME _LNAME,
goto USUALRES
else goto ALIAS
Instrument Variable Name: ALIAS
QuestionText:
QuestionText:
How shall I refer to [fill: you/this person] for the rest of the interview?
UniverseText: Persons who don't know or refused to give first or last name.
SkipInstructions:
SkipInstructions:
(allow 41) [goto USUALRES]
Instrument Variable Name: USUALRES
QuestionText:
QuestionText:
[fill: Do you/Does ALIAS] usually live here?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: All non-deleted persons
SkipInstructions:
SkipInstructions:
(1) [goto NAME_FNAME]
(2,R,D) [goto ASKURE]
(2,R,D) [goto ASKURE]
Instrument Variable Name: ASKURE
QuestionText:
QuestionText:
[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
2 No
7 Refused
9 Don't know
UniverseText: If the usual residence is not here, or 'don't know', or 'refused'.
SkipInstructions:
SkipInstructions:
(1) [goto NOLIST]
(2, R, D) [goto NAME_FNAME]
(2, R, D) [goto NAME_FNAME]
Instrument Variable Name: NOLIST
QuestionText:
QuestionText:
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.
* Enter (1) to continue to the next person.
1 To continue
UniverseText: Person living elsewhere
SkipInstructions:
SkipInstructions:
[goto NAME_FNAME]
Instrument Variable Name: MISPERS_MCHILD
QuestionText:
QuestionText:
I have listed living here ...
[fill roster]
Have I missed any babies or small children?
[fill roster]
Have I missed any babies or small children?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: After completing household roster
SkipInstructions:
SkipInstructions:
(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
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
Instrument Variable Name: MISPERS_MLODGE
QuestionText:
QuestionText:
* Read if necessary.
I have listed living here ...
[fill roster]
Have I missed any lodgers, boarders, or persons you employ who live here?
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
2 No
7 Refused
9 Don't know
UniverseText: Not missing any children or R or D
SkipInstructions:
SkipInstructions:
(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
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
Instrument Variable Name: MISPERS_MAWAY
QuestionText:
QuestionText:
* 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?
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
2 No
7 Refused
9 Don't know
UniverseText: No 'lodgers' living here or R or D
SkipInstructions:
SkipInstructions:
(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
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
Instrument Variable Name: MISPERS_MELSE
QuestionText:
QuestionText:
* Read if necessary.
I have listed living here...
[fill roster]
Have I missed anyone else staying here?
I have listed living here...
[fill roster]
Have I missed anyone else staying here?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: Nobody is away from home or R or D
SkipInstructions:
SkipInstructions:
(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
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
Instrument Variable Name: LIVEAT
QuestionText:
QuestionText:
Do all the persons I have listed live AND eat together?
*Read names if necessary.
[fill roster]
*Read names if necessary.
[fill roster]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: Person count is greater than one
SkipInstructions:
SkipInstructions:
(1,R,D) [goto OTHLIV]
(2) [goto XACCESS]
(2) [goto XACCESS]
Instrument Variable Name: XACCESS
QuestionText:
QuestionText:
Do the people who do not live and eat here have direct access from the outside or through a common hallway to a separateliving quarters?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: All persons don't eat and live together
SkipInstructions:
SkipInstructions:
(1) [goto TABX]
(2,R,D) [goto OTHLIV]
(2,R,D) [goto OTHLIV]
Instrument Variable Name: OTHLIV
QuestionText:
QuestionText:
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
2 No
7 Refused
9 Don't know
UniverseText: All
SkipInstructions:
SkipInstructions:
(1) [goto ERR_OTHLIV]
(2,R D) if PCNT = 1, [goto SEX]
else [goto HHRESP]
(2,R D) if PCNT = 1, [goto SEX]
else [goto HHRESP]
Instrument Variable Name: HHRESP
QuestionText:
QuestionText:
* 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.
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.
UniverseText: 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.
SkipInstructions:
SkipInstructions:
(1-25)
If deleted PX [goto ERR1_HHRESP]
elseif out of bound [goto ERR2_HHRESP]
elseif ADC = 1 [goto HHREF_A]
else [goto SEX]
If deleted PX [goto ERR1_HHRESP]
elseif out of bound [goto ERR2_HHRESP]
elseif ADC = 1 [goto HHREF_A]
else [goto SEX]
Instrument Variable Name: SEX
QuestionText:
QuestionText:
* Ask if not apparent.
* If don't know or refused enter your best guess.
[Are you/Is ALIAS] male or female?
* If don't know or refused enter your best guess.
[Are you/Is ALIAS] male or female?
1 Male
2 Female
2 Female
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(1,2) [goto AGEDOB_1]
Instrument Variable Name: AGEDOB_1
QuestionText:
QuestionText:
1 of 5
What is [fill: your/ALIAS's] age?
* Enter number for age.
What is [fill: your/ALIAS's] age?
* Enter number for age.
01-120 Age in years
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(001-120) [goto AGEDOB_2]
(R,D) [goto AGEDOB_3]
Question ID: HHC.120_02.000
(R,D) [goto AGEDOB_3]
Instrument Variable Name: AGEDOB_2
QuestionText:
QuestionText:
2 of 5
* Enter number for age time period.
* Enter number for age time period.
1 Days
2 Weeks
3 Months
4 Years
2 Weeks
3 Months
4 Years
UniverseText: Valid age - number entered
SkipInstructions:
SkipInstructions:
(1-4) [goto AGEDOB_3]
Instrument Variable Name: AGEDOB_3
QuestionText:
QuestionText:
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.
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
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(1-12,R,D) [goto AGEDOB_4]
Instrument Variable Name: AGEDOB_4
QuestionText:
QuestionText:
4 of 5
* Enter day of birth
* Enter day of birth
01-31 Day of the month
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(1-31,R,D)
Only allow valid days for month entered.
If days not valid, [goto ERR_AGEDOB_4]
ELSE [goto AGEDOB_5]
Only allow valid days for month entered.
If days not valid, [goto ERR_AGEDOB_4]
ELSE [goto AGEDOB_5]
Question ID: HHC.120_05.000
Instrument Variable Name: AGEDOB_5
QuestionText:
5 of 5
* Enter year of birth.
5 of 5
* Enter year of birth.
1880-2030 Year of birth
9997 Refused
9997 Refused
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(1880 - 2030, R,D) [goto AGECAL]
Instrument Variable Name: DOBVER
QuestionText:
QuestionText:
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?
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
2 No
7 Refused
9 Don't know
UniverseText: Age reported is not equal to age calculated from date of birth.
SkipInstructions:
SkipInstructions:
(1,R,D) [goto INTWKCK1]
(2) [goto AGEDOB_3]
Question ID: HHC.130_00.000
(2) [goto AGEDOB_3]
Instrument Variable Name: AGEPIC
QuestionText:
QuestionText:
[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
2 AGE=AGE4
3 Neither is correct
7 Refused
9 Don't know
UniverseText: Able to narrow age to two options
SkipInstructions:
SkipInstructions:
(1,2) [goto INTWKCK1]
(3,R,D) if AGEDOB_1 = R, [goto AGEGES2]
elseif AGEDOB_1 = D, [goto AGEGES1_NUM]
Question ID: HHC.150_01.000
(3,R,D) if AGEDOB_1 = R, [goto AGEGES2]
elseif AGEDOB_1 = D, [goto AGEGES1_NUM]
Instrument Variable Name: AGEGES1_NUM
QuestionText:
QuestionText:
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.
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
997 Refused
999 Don't know
C Compute from range
UniverseText: Age unknown and unable to narrow age down to two age choices and respondent did not refuse AGEDOB_1
SkipInstructions:
SkipInstructions:
(0-120) [goto AGEGES1_TP]
elseif outside range, [goto ERR_AGEGES1_NUM]
(C) [goto AGERNG_N1]
(R,D) [goto AGEGES2]
Question ID: HHC.150_02.000
elseif outside range, [goto ERR_AGEGES1_NUM]
(C) [goto AGERNG_N1]
(R,D) [goto AGEGES2]
Instrument Variable Name: AGEGES1_TP
QuestionText:
QuestionText:
2 of 2
* Enter time period for age guess.
3 Month(s)
4 Year(s)
* Enter time period for age guess.
3 Month(s)
4 Year(s)
UniverseText: Valid age number
SkipInstructions:
SkipInstructions:
(3, 4) If AGEDOB_5 = D, [goto YEARPIC]
else [goto INTWKCK1]
Question ID: HHC.152_00.000
else [goto INTWKCK1]
Instrument Variable Name: AGEGES2
QuestionText:
QuestionText:
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?
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
2 18 or older
7 Refused
9 Don't know
UniverseText: (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)
SkipInstructions:
SkipInstructions:
(1) [goto LESS18]
(2,R,D) [goto GREAT18]
Question ID: HHC.154_00.000
(2,R,D) [goto GREAT18]
Instrument Variable Name: LESS18
QuestionText:
QuestionText:
* Enter your best estimate of [ALIAS's] age.
* Enter age "0" to 17
* Enter "0" if less than 1 year old.
* Enter age "0" to 17
* Enter "0" if less than 1 year old.
000 Less than one year old
001 to 17 1 to 17 years of age
001 to 17 1 to 17 years of age
UniverseText: Person estimated less than eighteen years of age
SkipInstructions:
SkipInstructions:
(0-17) [goto AGEDOB_1, to collect information about next person in roster]
else, [goto INTWKCK1]
Question ID: HHC.156_00.000
else, [goto INTWKCK1]
Instrument Variable Name: GREAT18
QuestionText:
QuestionText:
* Enter your best estimate of [ALIAS's] age.
* Enter age 18 or greater.
* Enter age 18 or greater.
018-120 Age in years
UniverseText: Person estimated age (18 or older)
SkipInstructions:
SkipInstructions:
(18-120) [goto AGEDOB_1, to collect information about next person in roster]
else, [goto INTWKCK1]
Question ID: HHC.165_01.000
else, [goto INTWKCK1]
Instrument Variable Name: YEARPIC
QuestionText:
QuestionText:
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
2 High guess for year born
3 Neither is correct
7 Refused
9 Don't know
UniverseText: Person's age is known and birth year answered with 'don't know'
SkipInstructions:
SkipInstructions:
(1,2,3,R,D) [goto AGEDOB_1, to collect information about next person in roster]
else, [goto INTWKCK1]
Question ID: HHC.165_03.000
else, [goto INTWKCK1]
Instrument Variable Name: INTWKCK
QuestionText:
QuestionText:
Was [ALIAS] born on or after [STARTDATE]?
1 Yes
2 No
2 No
UniverseText: Child's age = 0 and date of birth not known
SkipInstructions:
SkipInstructions:
(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]
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]
Instrument Variable Name: NATOR
QuestionText:
QuestionText:
(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?
[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?
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(1) [goto HISPAN]
(2,R,D) [goto NATOR for next person in roster]
else [goto RACE]
Question ID: HHC.180_01.000
(2,R,D) [goto NATOR for next person in roster]
else [goto RACE]
Instrument Variable Name: HISPAN
QuestionText:
QuestionText:
(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.
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
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
UniverseText: National origin was answered yes to being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [goto NATOR (for the next person)] else [goto RACE]
(7) [goto HIS_SP2]
(8) [goto HIS_SP3]
Question ID: HHC.190_00.000
(7) [goto HIS_SP2]
(8) [goto HIS_SP3]
Instrument Variable Name: HIS_SP2
QuestionText:
QuestionText:
* 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.
* 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.
UniverseText: HISPAN answered from selection 7 for Hispanic origin.
SkipInstructions:
SkipInstructions:
(allow 30) [goto NATOR (for the next person)]
else [goto RACE]
Question ID: HHC.195_00.000
else [goto RACE]
Instrument Variable Name: HIS_SP3
QuestionText:
QuestionText:
* 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.
* 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.
UniverseText: HISPAN answer from selection 8 (other Hispanic/Latino) origin
SkipInstructions:
SkipInstructions:
(allow 30) [goto NATOR (for the next person)]
else [goto RACE]
else [goto RACE]
Instrument Variable Name: RACE
QuestionText:
QuestionText:
( 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.
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 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 Some other race
97 Refused
99 Don't know
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 Some other race
97 Refused
99 Don't know
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
SkipInstructions:
SkipInstructions:
(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]
Question ID: HHC.210_00.000
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]
Instrument Variable Name: RAC_SP1
QuestionText:
QuestionText:
* 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 Asian Indian
Black/African American Chinese
Indian (American) Filipino
Alaska Native Japanese
Native Hawaiian Korean
Guamanian Vietnamese
Samoan
* If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
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 Asian Indian
Black/African American Chinese
Indian (American) Filipino
Alaska Native Japanese
Native Hawaiian Korean
Guamanian Vietnamese
Samoan
* If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(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]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [goto RACE for next person on the roster]
else [goto NOWAF_A]
Instrument Variable Name: RAC_SP2
QuestionText:
QuestionText:
* Specify the other Asian.
* If any of the following are mentioned, backup to previous item and correct the entry.
White Asian Indian
Black/African American Chinese
Indian (American) Filipino
Alaska Native Japanese
Native Hawaiian Korean
Guamanian Vietnamese
Samoan
* If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
* If any of the following are mentioned, backup to previous item and correct the entry.
White Asian Indian
Black/African American Chinese
Indian (American) Filipino
Alaska Native Japanese
Native Hawaiian Korean
Guamanian Vietnamese
Samoan
* If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [goto MLTRAC]
then [goto RACE] for next person on the roster
else [goto NOWAF_A]
Question ID: HHC.214_00.000
then [goto RACE] for next person on the roster
else [goto NOWAF_A]
Instrument Variable Name: RAC_SP3
QuestionText:
QuestionText:
* 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
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Samoan
* If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
* 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
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Samoan
* If the respondent's answer could not be found, type 'ZZ' to enable you to type an entry.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [goto MLTRAC] then [goto RACE] for next person on the roster
Else [goto NOWAF_A ]
Question ID: HHC.220_00.000
Else [goto NOWAF_A ]
Instrument Variable Name: MLTRAC
QuestionText:
QuestionText:
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
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
UniverseText: More than on race entered
SkipInstructions:
SkipInstructions:
(1-16,R,D) [goto NOWAF_A]
else, [goto ERR_MLTRAC]
else, [goto ERR_MLTRAC]
Instrument Variable Name: NOWAF_A
QuestionText:
QuestionText:
[fill: Is anyone in the household/Are you/Is ALIAS] now on full-time active duty with the Armed Forces?
[display eligible persons]
[display eligible persons]
1 Yes
2 No
7 Refused
9 Don't know
2 No
7 Refused
9 Don't know
UniverseText: If household contains 1 or more persons 18-64 years old
SkipInstructions:
SkipInstructions:
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]
Question ID: HHC.230_03.000
( 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]
Instrument Variable Name: NOWAF2_B
QuestionText:
QuestionText:
Who is this? (Anyone else)
* Enter line numbers as appropriate.
* Enter all that apply, separate with commas.
* Enter line numbers as appropriate.
* Enter all that apply, separate with commas.
UniverseText: At least 1 person in the AF and more than 1 person eligible to be in the AF
SkipInstructions:
SkipInstructions:
(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]
Question ID: HHC.240_00.000
elseif POS2 and POS3 ne 0 [goto ADC]
else [goto HHREF_A]
Invalid person # selected [goto ERR_NOWAF2_B]
Instrument Variable Name: EXIT
QuestionText:
QuestionText:
Not every household in our survey is asked all questions. I have all the information about your household that I need atthis time. Thank you for your assistance.
* Enter (1) to proceed.
* Enter (1) to proceed.
1 Proceed
UniverseText: 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, Hispanic or Asian and not marked for an interview
SkipInstructions:
SkipInstructions:
(1) [goto VISITCNT]
Instrument Variable Name: HHREF_A
QuestionText:
QuestionText:
* [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.
[Display all non-deleted household members ge 14 years of age]
* Press shift F1 to see full roster information.
1 Yes
2 No
2 No
UniverseText: If more than one non-deleted person in the HH
SkipInstructions:
SkipInstructions:
(1) [goto RPREL]
(2) [goto HHREF_B]
Question ID: HHC.250_02.000
(2) [goto HHREF_B]
Instrument Variable Name: HHREF_B
QuestionText:
QuestionText:
* Select another household member for the reference person.
* Enter the line number of the Household Reference person.
* Enter the line number of the Household Reference person.
UniverseText: Selecting another Reference person
SkipInstructions:
SkipInstructions:
(1-25) GOTO RPREL
Instrument Variable Name: RPREL
QuestionText:
QuestionText:
(book) H3.
What is [fill1: your/ALIAS's] relationship to [fill2: Reference Person's name/you]
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
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
UniverseText: All where RPREL NE Reference Person
SkipInstructions:
SkipInstructions:
Loop through all non-deleted PX
(2, 3) if selected for more than one PX [goto ERR4_RPREL]
elseif AGE ( 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 ( 25 [goto ERR2_RPREL] endif
(7) [goto DEGREE2]
(8) [goto DEGREE3]
(9) if AGEDIFF ( 25 [goto ERR3_RPREL] endif
(10-17,R,D) end loop
if UNRELTAL ) 1 [GOTO FAMNUM]
else [goto HHCHANGE]
(2, 3) if selected for more than one PX [goto ERR4_RPREL]
elseif AGE ( 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 ( 25 [goto ERR2_RPREL] endif
(7) [goto DEGREE2]
(8) [goto DEGREE3]
(9) if AGEDIFF ( 25 [goto ERR3_RPREL] endif
(10-17,R,D) end loop
if UNRELTAL ) 1 [GOTO FAMNUM]
else [goto HHCHANGE]
Instrument Variable Name: DEGREE1
QuestionText:
QuestionText:
[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
2 Adoptive {son/daughter}
3 Step {son/daughter]
4 Foster {son/daughter}
5 {son/daughter]-in-law
7 Refused
Refused
9 Don't know
UniverseText: RPREL=(4) child
SkipInstructions:
SkipInstructions:
(1) if AGEDIFF ( 12 [goto ERR1_DEGREE1]
else [goto RPREL]
(2-5,R,D) [goto RPREL]
else [goto RPREL]
(2-5,R,D) [goto RPREL]
Instrument Variable Name: DEGREE2
QuestionText:
QuestionText:
[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
2 Adoptive {mother/father}
3 Step {mother/father]
4 Foster {mother/father}
5 {mother/father]-in-law
7 Refused
9 Don't know
UniverseText: RPREL=(7) parent
SkipInstructions:
SkipInstructions:
(1) if AGEDIFF (12 [goto ERR_DEGREE2]
elseif additional PX's remain [goto RPREL]
elseif UNRELTAL )1 [goto FAMNUM]
else [goto HHCHANGE]
(2-5,R,D) if additional PX's remain [goto RPREL]
elseif UNRELTAL )1 [goto FAMNUM]
else [goto HHCHANGE]
elseif additional PX's remain [goto RPREL]
elseif UNRELTAL )1 [goto FAMNUM]
else [goto HHCHANGE]
(2-5,R,D) if additional PX's remain [goto RPREL]
elseif UNRELTAL )1 [goto FAMNUM]
else [goto HHCHANGE]
Instrument Variable Name: DEGREE3
QuestionText:
QuestionText:
[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
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
UniverseText: All siblings
SkipInstructions:
SkipInstructions:
(1-6,R,D) [goto RPREL]