Survey Text

2018 2004 1990 1976
2017 2003 1989 1975
2016 2002 1988 1974
2015 2001 1987 1973
2014 2000 1986 1972
2013 1999 1985 1971
2012 1998 1984 1970
2011 1997 1983 1969
2010 1996 1982 1968
2009 1995 1981 1967
2008 1994 1980 1966
2007 1993 1979 1965
2006 1992 1978 1964
2005 1991 1977 1963
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2018
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP1
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 Native
Native Hawaiian
Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP2
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 or Chamorro
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:
(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:
* 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 or Chamorro
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:
(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

Instrument Variable Name: MLTRAC
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 or Chamorro
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:
(1-16,R,D) [go to NOWAF_A] else, [go to ERR_MLTRAC]

Hard Edit: ERR_MLTRAC

* Select valid race group number.
* Please correct.

top
2017
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP1
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 Native
Native Hawaiian
Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP2
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 or Chamorro
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:
(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:
* 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 or Chamorro
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:
(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

Instrument Variable Name: MLTRAC
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 or Chamorro
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:
(1-16,R,D) [go to NOWAF_A] else, [go to ERR_MLTRAC]

Hard Edit: ERR_MLTRAC

* Select valid race group number.
* Please correct.

top
2016
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP1
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 Native
Native Hawaiian
Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP2
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 or Chamorro
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:
(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:
* 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 or Chamorro
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:
(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

Instrument Variable Name: MLTRAC
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 or Chamorro
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:
(1-16,R,D) [go to NOWAF_A] else, [go to ERR_MLTRAC]

Hard Edit: ERR_MLTRAC

* Select valid race group number.
* Please correct.

top
2015
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP1
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 Native
Native Hawaiian
Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP2
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 or Chamorro
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:
(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:
* 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 or Chamorro
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:
(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

Instrument Variable Name: MLTRAC
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 or Chamorro
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:
(1-16,R,D) [go to NOWAF_A] else, [go to ERR_MLTRAC]

Hard Edit: ERR_MLTRAC

* Select valid race group number.
* Please correct.

top
2014
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP1
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 Native
Native Hawaiian
Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP2
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 or Chamorro
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:
(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:
* 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 or Chamorro
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:
(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

Instrument Variable Name: MLTRAC
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 or Chamorro
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:
(1-16,R,D) [go to NOWAF_A] else, [go to ERR_MLTRAC]

Hard Edit: ERR_MLTRAC

* Select valid race group number.
* Please correct.

top
2013
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
01 White
02 Black/African American
03 Indian (American)
04 Alaska Native
05 Native Hawaiian
06 Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP1
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 Native
Native Hawaiian
Guamanian or Chamorro
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:
(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

Instrument Variable Name: RAC_SP2
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 or Chamorro
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:
(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:
* 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 or Chamorro
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:
(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

Instrument Variable Name: MLTRAC
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 or Chamorro
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:
(1-16,R,D) [go to NOWAF_A] else, [go to ERR_MLTRAC]

Hard Edit: ERR_MLTRAC

* Select valid race group number.
* Please correct.

top
2012
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2011
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2010
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2009
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2008
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2007
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2006
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2005
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2004
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2003
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2002
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2001
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
2000
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

top
1999
Survey form view entire document:  text  image

Question ID: HHC.200_01.000

Instrument Variable Name: RACE
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.
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
UniverseText: All nondeleted persons in parent cases or all nondeleted persons being added in spawn cases.
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

Instrument Variable Name: RAC_SP1
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.
UniverseText: RACE= 8 (other Pacific Islander)
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

Instrument Variable Name: RAC_SP2
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.
UniverseText: RACE = other Asian listed
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:
* 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.
UniverseText: RACE answered some other race.
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

Instrument Variable Name: MLTRAC
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
UniverseText: More than on race entered
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.

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1998
Survey form view entire document:  text  image

FID.220

FR: SHOW CARD H2
ENTER THE NUMBER FOR EACH RACE MENTIONED, ENTER (N) FOR NO MORE

I recorded that {your/name's} race is [CAPI: List all mentioned race in RACE@1 to
RACE@5; fill other specify description (RAC_SP1 and/or RAC_SP2) if RACE@1 to
RACE @ 5 = 15 or 16]

What race {does/do} {name/you} consider {himself/herself/yourself} to be?
Card H2
1. White
2. Black/African American
3. Indian (American)
4. Eskimo
5. Aleut
6. Chinese
7. Filipino
8. Hawaiian
9. Korean
10. Vietnamese
11. Japanese
12. Asian Indian
13. Samoan
14. Guamanian
15. Other Asian/Pacific Islander
(1) White
(2) Black/African American
(3) Indian (American)
(4) Eskimo
(5) Aleut
(6) Chinese
(7) Filipino
(8) Hawaiian
(9) Korean
(10) Vietnamese
(11) Japanese
(12) Asian Indian
(13) Samoan
(14) Guamanian
(15) Other Asian, Pacific Islander (CHG_RAC6)
(16) Some other race (CHG_RAC7)
(97) Refused
(99) Don't know

[ ] CHG_RAC1 [ ] CHG_RAC2 [ ] CHG_RAC3 [ ] CHG_RAC4 [ ] CHG_RAC5

[Equiv RACE1 - RACE5]

FID.230

FR: SPECIFY OTHER ASIAN, PACIFIC ISLANDER RACE
CHG_RAC6 [equiv RAC_SP1] Specified Other Asian, Pacific Islander Race: ______________
(Go to FIDCCI2)

FID.235

FR: SPECIFY OTHER RACE
CHG_RAC7 [equiv RAC_SP2] Specified Other Race: ____________
(Go to FIDCCI2)
Check item FIDCCI2: If multiple entries in FID.220 Go to FID.240, Else go to CHG_LOOP.

FID.240

Which one of these groups, that is (FR: READ GROUPS) would you say BEST represents {your/name's} race?

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1997
Survey form view entire document:  text  image

HHC.200

FR: SHOW FLASHCARD H2
Card H2
1. White
2. Black/African American
3. Indian (American)
4. Eskimo
5. Aleut
6. Chinese
7. Filipino
8. Hawaiian
9. Korean
10. Vietnamese
11. Japanese
12. Asian Indian
13. Samoan
14. Guamanian
15. Other Asian/Pacific Islander
RACE
What race {do/does} {you/name} consider {yourself/himself/herself} to be?

(1) White
(2) Black/African American
(3) Indian (American)
(4) Eskimo
(5) Aleut
(6) Chinese
(7) Filipino
(8) Hawaiian
(9) Korean
(10) Vietnamese
(11) Japanese
(12) Asian Indian
(13) Samoan
(14) Guamanian
(15) Other Asian, Pacific Islander (HHC.210)
(16) Other (HHC.215)
(97) Refused (HHCCCI4)
(99) Don't know (HHCCCI4)

[ ] RACE
[ ] RACE2
[ ] RACE3
[ ] RACE4
[ ] RACE5

(Go to HHCCCI4)

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1996
Survey form view entire document:  text  image

HAND CARD R. Ask first alternative for first person; ask second alternative for other persons.
CARD R
1. White
2. Black/ African American
3. Indian (American)
4. Eskimo
5. Aleut
Asian or Pacific Islander (API)
6. Chinese
7. Filipino
8. Hawaiian
9. Korean
10. Vietnamese
11. Japanese
12. Asian Indian
13. Samoan
14. Guamanian
15. Other API (Specifiy)

6a. [What is the number of the groups which represents -- race?]
[What is -- race?]
Circle all that apply.

1- White
2- Black/African American
3- Indian (American)
4- Eskimo
5- Aleut

Asian or Pacific Islander (API)

6- Chinese
7- Filipino
8- Hawaiian
9- Korean
10- Vietnamese
11- Japanese
12- Asian Indian
13- Samoan
14- Guamanian
15- Other API - Specifiy
16 - Other race - Specify

Ask if multiple entries in 6a:
b. Which of these groups, that is (entries in 6a) would you say BEST represents -- race?

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
____(Specify)

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1995
Survey form view entire document:  text  image

HAND CARD R. Ask first alternative for first person; ask second alternative for other persons.
CARD R
1. White
2. Black/ African American
3. Indian (American)
4. Eskimo
5. Aleut
Asian or Pacific Islander (API)
6. Chinese
7. Filipino
8. Hawaiian
9. Korean
10. Vietnamese
11. Japanese
12. Asian Indian
13. Samoan
14. Guamanian
15. Other API (Specifiy)

6a. [What is the number of the groups which represents -- race?]
[What is -- race?]
Circle all that apply.

1- White
2- Black/African American
3- Indian (American)
4- Eskimo
5- Aleut

Asian or Pacific Islander (API)

6- Chinese
7- Filipino
8- Hawaiian
9- Korean
10- Vietnamese
11- Japanese
12- Asian Indian
13- Samoan
14- Guamanian
15- Other API - Specifiy
16 - Other race - Specify

Ask if multiple entries in 6a:
b. Which of these groups, that is (entries in 6a) would you say BEST represents -- race?

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
____(Specify)

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1994
Survey form view entire document:  text  image

HAND CARD R. Ask first alternative for first person; ask second alternative for other persons.
CARD R
1. White
2. Black/ African American
3. Indian (American)
4. Eskimo
5. Aleut
Asian or Pacific Islander (API)
6. Chinese
7. Filipino
8. Hawaiian
9. Korean
10. Vietnamese
11. Japanese
12. Asian Indian
13. Samoan
14. Guamanian
15. Other API (Specifiy)

6a. [What is the number of the groups which represents -- race?]
[What is -- race?]
Circle all that apply.

1- White
2- Black/African American
3- Indian (American)
4- Eskimo
5- Aleut

Asian or Pacific Islander (API)

6- Chinese
7- Filipino
8- Hawaiian
9- Korean
10- Vietnamese
11- Japanese
12- Asian Indian
13- Samoan
14- Guamanian
15- Other API - Specifiy
16 - Other race - Specify

Ask if multiple entries in 6a:
b. Which of these groups, that is (entries in 6a) would you say BEST represents -- race?

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
____(Specify)

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1993
Survey form view entire document:  text  image

5a. Earlier you said that -- has a job or business but did not work last week or the week before. Was -- looking for work or on layoff from a job during those 2 weeks?

1[] Yes (5c)
2[] No (6b)

b. Earlier you said that -- didn't have a job or business last week or the week before. Was -- looking for work or on layoff from a job during those 2 weeks?

1[] Yes
2[] No (NP)

c. Which, looking for work or on layoff from a job?

1[] Looking (6c)
2[] Layoff (6b)
3[] Both (6b)

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1992
Survey form view entire document:  text  image

HAND CARD R. Ask first alternative for first person; ask second alternative for other persons.
CARD R
1. White
2. Black/ African American
3. Indian (American)
4. Eskimo
5. Aleut
Asian or Pacific Islander (API)
6. Chinese
7. Filipino
8. Hawaiian
9. Korean
10. Vietnamese
11. Japanese
12. Asian Indian
13. Samoan
14. Guamanian
15. Other API (Specifiy)

6a. [What is the number of the groups which represents -- race?]
[What is -- race?]
Circle all that apply.

1- White
2- Black/African American
3- Indian (American)
4- Eskimo
5- Aleut

Asian or Pacific Islander (API)

6- Chinese
7- Filipino
8- Hawaiian
9- Korean
10- Vietnamese
11- Japanese
12- Asian Indian
13- Samoan
14- Guamanian
15- Other API - Specifiy
16 - Other race - Specify

Ask if multiple entries in 6a:
b. Which of these groups, that is (entries in 6a) would you say BEST represents -- race?

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
____(Specify)

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1991
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1990
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1989
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1988
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1987
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1986
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1985
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1984
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1983
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1982
Survey form view entire document:  text  image

CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

3a.What is the number of the group or groups which represent -- race?
What is -- race?
Circle all that apply
1 -- Aleut, Eskimo, or American Indian
2 -- Asian or Pacific Islander
3 -- Black
4 -- White
5 -- Another group not listed -- Specify ____
Ask if multiple entries:

1[] -- Aleut, Eskimo or American Indian
2[] -- Asian or Pacific Islander
3[] -- Black
4[] -- White
5[] -- Another group not listed-- Please specify ____

Ask if multiple entries:
b. Which of those groups; that is, (entries in 3a) would you say best represents -- race?

1[]
2[]
3[]
4[]
5[] Specify ____

top
1981
Survey form view entire document:  text  image

Hand Card R - Mark box or ask:
CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

4a. Please give me the number of the group or groups which describes --'s racial background.
Circle all that apply.

1- Aluet, Eskimo or American Indian
2- Asian or Pacific Islander
3- Black
4- White
5- Another group not listed - Specify
[] Under 17 (NP)
[] 1
[] 2
[] 3
[] 4
5 - Specify ____

If multiple entries ask:
b. Which of these groups, that is, (entries in 4a) would you say BEST describes --'s racial background?

[] 1
[] 2
[] 3
[] 4
[] 5 - Specify ____

top
1980
Survey form view entire document:  text  image

Hand Card R - Mark box or ask:
CARD R
1. Aluet, Eskimo or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed - Specify

4a. Please give me the number of the group or groups which describes --'s racial background.
Circle all that apply.

1- Aluet, Eskimo or American Indian
2- Asian or Pacific Islander
3- Black
4- White
5- Another group not listed - Specify
[] Under 17 (NP)
[] 1
[] 2
[] 3
[] 4
5 - Specify ____

If multiple entries ask:
b. Which of these groups, that is, (entries in 4a) would you say BEST describes --'s racial background?

[] 1
[] 2
[] 3
[] 4
[] 5 - Specify ____

top
1979
Survey form view entire document:  text  image

top
1978
Survey form view entire document:  text  image

Hand Card R
CARD R
1. Alaskan Native or American Indian
2. Asian or Pacific Islander
3. Black
4. White
5. Another group not listed -- Please specify

Mark box or ask:
11a. Please give me the number of the group or groups which describes --'s racial background.
Circle all that apply.

[] Under 17 (NP)
[]1
[] 2
[] 3
[] 4
[] 5 (Specify) ____

If multiple entries ask:
b. Which of those groups; that is, (entries in 11a) would you say BEST describes --'s racial background?

[] 1
[] 2
[] 3
[] 4
[] 5 (Specify) ____

top
1977
Survey form view entire document:  text  image

3. What is --'s date of birth? (Enter date and Age and circle Race and Sex)

AGE ____
RACE ____
1 [] W
2 [] B
3 [] OT
SEX
1 [] M
2 [] F
Month ____
Date ____
Year ____

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1976
Survey form view entire document:  text  image

3. What is --'s date of birth? (Enter date and Age and circle Race and Sex)

AGE ____
RACE ____
1 [] W
2 [] B
3 [] OT
SEX
1 [] M
2 [] F
Month ____
Date ____
Year ____

top
1975
Survey form view entire document:  text  image

3. What is --'s date of birth? (Enter date and Age and circle Race and Sex)

AGE ____
RACE ____
1 [] W
2 [] B
3 [] OT
SEX
1 [] M
2 [] F
Month ____
Date ____
Year ____

top
1974
Survey form view entire document:  text  image

3. What is --'s date of birth? (Enter date and Age and circle Race and Sex)

AGE ____
RACE ____
1 [] W
2 [] B
3 [] OT
SEX
1 [] M
2 [] F
Month ____
Date ____
Year ____

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1973
Survey form view entire document:  text  image

3. How old was -- on his last birthday? (Enter Age and circle Race and Sex)

AGE ____
RACE
1 [] W
2 [] N
3 [] OT
SEX
1 [] M
2 [] F
C

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1972
Survey form view entire document:  text  image

3. How old was -- on his last birthday? (Enter Age and circle Race and Sex)

AGE ____
RACE
1 [] W
2 [] N
3 [] OT
SEX
1 [] M
2 [] F
C

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1971
Survey form view entire document:  text  image

3. How old was -- on his last birthday? (Enter Age and circle Race and Sex)

AGE ____
RACE
1 [] W
2 [] N
3 [] OT
SEX
1 [] M
2 [] F
C

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1970
Survey form view entire document:  text  image

3. How old was -- on his last birthday? (Enter Age and circle Race and Sex)

AGE ____
RACE
1 [] W
2 [] N
3 [] OT
SEX
1 [] M
2 [] F
C

top
1969
Survey form view entire document:  text  image

3. How old was -- on his last birthday? (Enter Age and circle Race and Sex)

AGE ____
RACE
1 [] W
2 [] N
3 [] OT
SEX
1 [] M
2 [] F
C

top
1968
Survey form view entire document:  text  image

3. How old was --on his last birthday?
Also mark Race and sex

Age ____
Race
0[] W
1[] N
2[] OT
Sex
0[] M
1[] F

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1967
Survey form view entire document:  text  image

3. How old was --on his last birthday?
Also mark Race and sex

Age ____
Race
0[] W
1[] N
2[] OT
Sex
0[] M
1[] F

top
1966

No questionnaire text is available for this sample.


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1965

No questionnaire text is available for this sample.


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1964

No questionnaire text is available for this sample.


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1963

No questionnaire text is available for this sample.