Codes and Frequencies
An 'X' indicates the category is available for that sample
| Code | Label |
16
|
15
|
14
|
13
|
12
|
11
|
10
|
09
|
08
|
07
|
06
|
05
|
04
|
03
|
02
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | No, ethnicity race not imputed | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
| 2 | Yes, ethnicity/race imputed | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
Can't find the category you are looking for? Try the Detailed codes
Description
For all persons, RACEIMPUTE reports if the person's ethnicity or race was provided in the survey, or if her/his ethnicity or race was imputed. Beginning in 2017, NHIS has suppressed imputation flag variables indicating whether an ethnicity or race response was imputed; these variables are no longer available on public use files.
Universe
- 2002-2013; 2014 2015 2016: All persons.
Availability
- 2002-2016
Survey Text
| 2016 | 2012 | 2008 | 2004 |
| 2015 | 2011 | 2007 | 2003 |
| 2014 | 2010 | 2006 | 2002 |
| 2013 | 2009 | 2005 |
2016
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2015
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2014
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2013
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2012
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2011
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2010
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2009
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2008
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2007
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2006
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2005
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2004
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2003
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
2002
Survey form
view entire document:
text
image
Question ID: HHC.170_00.000
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?
* 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) [go to HISPAN]
(2,R,D) [go to NATOR for next person in roster] else [go to RACE]
Question ID: HHC.180_01.000
(2,R,D) [go to NATOR for next person in roster] else [go to 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.
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 yesto being Hispanic or Latino
SkipInstructions:
SkipInstructions:
(1-6) [go to NATOR (for the next person)] else [go to RACE]
(7) [go to HIS_SP2]
(8) [go to HIS_SP3]
Question ID: HHC.190_00.000
(7) [go to HIS_SP2]
(8) [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.195_00.000
else [go to 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) [go to NATOR (for the next person)]
else [go to RACE]
Question ID: HHC.200_01.000
else [go to 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.
* 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, [go to MLTRAC, then go to RACE for next person in roster] else [go to NOWAF_A]
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to NOWAF_A]
Question ID: HHC.210_00.000
(8) [go to RAC_SP1]
(15) [go to RAC_SP2]
(16) [go to RAC_SP3]
(R,D) [go to RACE, for the next person in roster] else [go to 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
Black/African American
Indian (American)
Alaska NativeNative 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.
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 NativeNative 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.
UniverseText: RACE= 8 (other Pacific Islander)
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected, [go to MLTRAC]
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to NOWAF_A]
Question ID: HHC.212_00.000
If 'ZZ' entered [goto RAC_SP1A]
then [go to RACE for next person on the roster] else [go to 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
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.
* 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.
UniverseText: RACE = other Asian listed
SkipInstructions:
SkipInstructions:
(allow 30) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster else [go to NOWAF_A]
Question ID: HHC.214_00.000
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
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.
* 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.
UniverseText: RACE answered some other race.
SkipInstructions:
SkipInstructions:
(30 chars long) If more than one selected [go to MLTRAC] then [go to RACE] for next person on the roster
Else [go to NOWAF_A ]
Question ID: HHC.220_00.000
Else [go to 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) [go to NOWAF_A] else, [go to ERR_MLTRAC]
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Hard Edit: ERR_MLTRAC
* Select valid race group number.
* Please correct.
Weights
- 2002-2016 : PERWEIGHT