Cycle 24-Time-Stree and Well-Being RIS_Q04 Does anyone use this number as a home phone number? 1Yes 2 No (Go to RDDEval ND) RSP_Q01 Excluding cellular phones,is this your household's only telephone number? 1 Yes Go to RC_Q01 2 No Don't know Go to RC_Q01 Refusal Go to RC Q01 RSP Q02 Excluding cellular phones,how many different telephone numbers are there? INTERVIEWER: If 9 telephone numbers or more,enter <9>. 2.9 Don't know Refusal RSP E02 IF RSP Q02>3. An unusual value has been entered.Select <Suppress>to accept the answer and continue or <Goto>to return and correct. RSPQ03 Are any of these numbers for computer,fax or business use only? 1 Yes 2 No Go to RC Q01 Don't know Go to RC_Q01 Refusal Go to RC Q01 RSP_Q04 How many of these numbers are for computer,fax or business use only? 1.8 Don't know Refusal RSP E04A IF RSP Q04>3. An unusual value has been entered.Select <Suppress>to accept the answer and continue or <Goto>to return and correct. RSP E04B IF RSP_Q04>(RSP_Q02-1). An impossible value has been entered.Please return and correct. RDDEval ND Page7
Cycle 24 – Time-Stree and Well-Being Page 7 RIS_Q04 Does anyone use this number as a home phone number? 1 Yes 2 No (Go to RDDEval_ND) RSP_Q01 Excluding cellular phones, is this your household’s only telephone number? 1 Yes Go to RC_Q01 2 No Don’t know Go to RC_Q01 Refusal Go to RC_Q01 RSP_Q02 Excluding cellular phones, how many different telephone numbers are there? INTERVIEWER: If 9 telephone numbers or more, enter <9>. 2..9 Don’t know Refusal RSP_E02 IF RSP_Q02 > 3. An unusual value has been entered. Select <Suppress> to accept the answer and continue or <Goto> to return and correct. RSP_Q03 Are any of these numbers for computer, fax or business use only? 1 Yes 2 No Go to RC_Q01 Don’t know Go to RC_Q01 Refusal Go to RC_Q01 RSP_Q04 How many of these numbers are for computer, fax or business use only? 1..8 Don’t know Refusal RSP_E04A IF RSP_Q04 > 3. An unusual value has been entered. Select <Suppress> to accept the answer and continue or <Goto> to return and correct. RSP_E04B IF RSP_Q04 > (RSP_Q02 – 1). An impossible value has been entered. Please return and correct. RDDEval_ND
Cycle 24-Time-Stree and Well-Being INTERVIEWER:This is the end of the RDD evaluation. Press <1>to continue. If case is out-of-scope then Go to Exit ELSE continue RS_R01 The next few questions will provide important basic information on the people in your household. INTERVIEWER:Press <Enter>to continue. Roster What are the names of all persons who usually live there? INTERVIEWER:Begin with adults who have responsibility for the care or support of the family. Enter the first name. To delete a name replace the first name with * To continue,go to the blank line at the end of roster,enter <1>in first name,and press <Enter>. First Name Last Name MEM(1) MEM(2) MEM(3) etc. RS Q04 Are there any other persons who usually live here but are now away at school,in hospital,or somewhere else? 1 Yes (Return to roster) 2 No Page 8
Cycle 24 – Time-Stree and Well-Being Page 8 INTERVIEWER: This is the end of the RDD evaluation. Press <1> to continue. If case is out-of-scope then Go to Exit ELSE continue RS_R01 The next few questions will provide important basic information on the people in your household. INTERVIEWER: Press <Enter> to continue. Roster What are the names of all persons who usually live there? INTERVIEWER: Begin with adults who have responsibility for the care or support of the family. Enter the first name. To delete a name replace the first name with *. To continue, go to the blank line at the end of roster, enter <1> in first name, and press <Enter>. First Name Last Name MEM(1) ________________ __________________ MEM(2) ________________ __________________ MEM(3) ________________ __________________ etc. RS_Q04 Are there any other persons who usually live here but are now away at school, in hospital, or somewhere else? 1 Yes (Return to roster) 2 No ______________________________________________________________________________
Cycle 24-Time-Stree and Well-Being DM NO1 The following questions collect demographic information for all household members. For new household members collect all demographic information. For other household members collect any missing demographic information,or update/correct existing demographic information as needed. Press <Page Down>to go to the first unanswered question,or go to the next question series once all demographic information has been collected. ANDB Q01 What is (fill:member's namej's age? (MIN:0)(MAX:130) SEX Q01 INTERVIEWER:Enter (fill member's name)'s sex. If necessary,ask:(Is {fill:member's name)male or female?) 1 Male 2 Female MSNC_Q01 What is (fill:member's name)'s marital status?Is (fill:he or she): INTERVIEWER:Read categories to respondent. 1 ...married? 3 ...living common-law? ...widowed? ...separated? 5 ...divorced? 6 ...single,never married? RNC_Q1 What is the relationship of (fill:member1 to member2,member1 to member 3,etc.)? Spouse or partner 2 Common-law partner Father(or mother)(Go to RNC Q2A) Son(or daughter)(Go to RNC_Q2B) 5 Brother(or sister)(Go to RNC Q2C) 6 Foster father(or foster mother) > Foster son(or foster daughter) 8 Grandfather(or grandmother) 9 Grandson (or granddaughter) 10 In-law (Go to RNC Q2D) 11 Other related(Go to RNC Q2E) 12 Unrelated(Go to RNC Q2F) Page 9
Cycle 24 – Time-Stree and Well-Being Page 9 DM_N01 The following questions collect demographic information for all household members. For new household members collect all demographic information. For other household members collect any missing demographic information, or update/correct existing demographic information as needed. Press <Page Down> to go to the first unanswered question, or go to the next question series once all demographic information has been collected. ANDB_Q01 What is {fill: member’s name}’s age? (MIN: 0) (MAX: 130) SEX_Q01 INTERVIEWER: Enter {fill member’s name}’s sex. If necessary, ask: (Is {fill: member’s name} male or female?) 1 Male 2 Female MSNC_Q01 What is {fill: member’s name}’s marital status? Is {fill: he or she}: INTERVIEWER: Read categories to respondent. 1 …married? 2 …living common-law? 3 …widowed? 4 …separated? 5 …divorced? 6 …single, never married? RNC_Q1 What is the relationship of {fill: member1 to member2, member1 to member 3, etc.}? 1 Spouse or partner 2 Common-law partner 3 Father (or mother) (Go to RNC_Q2A) 4 Son (or daughter) (Go to RNC_Q2B) 5 Brother (or sister) (Go to RNC_Q2C) 6 Foster father (or foster mother) 7 Foster son (or foster daughter) 8 Grandfather (or grandmother) 9 Grandson (or granddaughter) 10 In-law (Go to RNC_Q2D) 11 Other related (Go to RNC_Q2E) 12 Unrelated (Go to RNC_Q2F)
Cycle 24-Time-Stree and Well-Being RNC Q2A What is the relationship of (fill:member's name)to (fill:member's name)? Is that a(n): 1 birth father/mother? 2 step father/mother? adoptive father/mother? RNC_Q2B What is the relationship of (fill:member's name)to (fill:member's name)? Is that a(n): 1 birth son/daughter? 2 step son/daughter? 3 adopted son/daughter? RNC Q2C What is the relationship of (fill:member's name)to (fill:member's name)? Is that a(n): 1 full brother/sister? 2 half brother/sister? 3 step brother/sister? 4 adopted brother/sister? 5 foster brother/sister? RNC Q2D What is the relationship of (fill:member's name)to (fill:member's name)? Is that a(n): 1 father/mother in-law? 2 son/daughter in law? 3 brother/sister in law? 4 other in-law? Page 10
Cycle 24 – Time-Stree and Well-Being Page 10 RNC_Q2A What is the relationship of {fill: member’s name} to {fill: member’s name}? Is that a(n): 1 birth father/mother? 2 step father/mother? 3 adoptive father/mother? _ ___________________________________________________________________________________ RNC_Q2B What is the relationship of {fill: member’s name} to {fill: member’s name}? Is that a(n): 1 birth son/daughter? 2 step son/daughter? 3 adopted son/daughter? RNC_Q2C What is the relationship of {fill: member’s name} to {fill: member’s name}? Is that a(n): 1 full brother/sister? 2 half brother/sister? 3 step brother/sister? 4 adopted brother/sister? 5 foster brother/sister? RNC_Q2D What is the relationship of {fill: member’s name} to {fill: member’s name}? Is that a(n): 1 father/mother in-law? 2 son/daughter in law? 3 brother/sister in law? 4 other in-law?
Cycle 24-Time-Stree and Well-Being RNC Q2E What is the relationship of (fill:member's name)to (fill:member's name)? Is that a(n): 1 uncle/aunt? 2 cousin? 3 nephew/niece? 4 other relative? RNC Q2F What is the relationship of (fill:member's name)to (fill:member's name)? Is that a(n): 1 boyfriend/girlfriend? room-mate? 3 other? HH ND INTERVIEWER:This is the end of household.Once you press <1>,you will not be able to change the roster data. Press <1>to continue. SRI_R01 The survey application will now randomly select a member of your household to answer the rest of the survey questions. Unfortunately,I have no control over the selection of household members.In order to ensure that the survey is as accurate as possible,the selection of household members is made automatically. INTERVIEWER:Press <1>to continue. SR Q01 May I speak with ^RespName? 1 Yes,speaking to respondent Go to SS_ND 2 Yes,respondent available* 3 No,respondent not available 4 No,respondent no longer a household member Go to Exit Wrong number Go to Exit Go to Il R01,IC R01,LP_Q01,MON RO1 SRA Q01 (Call condition if SR Q01=3) I would like to contact ^RespName.When would [he/she)be available? 1.Make hard appointment(Go to APP_N01) 2.Make soft appointment(Go to APP_N01) 3.Not available DK,RF SS ND INTERVIEWER:This is the end of SS. Press <1>to continue. INT_BEG Beginning of Survey Introduction module Page 11
Cycle 24 – Time-Stree and Well-Being Page 11 RNC_Q2E What is the relationship of {fill: member’s name} to {fill: member’s name}? Is that a(n): 1 uncle/aunt? 2 cousin? 3 nephew/niece? 4 other relative? RNC_Q2F What is the relationship of {fill: member’s name} to {fill: member’s name}? Is that a(n): 1 boyfriend/girlfriend? 2 room-mate? 3 other? HH_ND INTERVIEWER: This is the end of household. Once you press <1>, you will not be able to change the roster data. Press <1> to continue. SRI_R01 The survey application will now randomly select a member of your household to answer the rest of the survey questions. Unfortunately, I have no control over the selection of household members. In order to ensure that the survey is as accurate as possible, the selection of household members is made automatically. INTERVIEWER: Press <1> to continue. SR_Q01 May I speak with ^RespName? 1 Yes, speaking to respondent Go to SS_ND 2 Yes, respondent available* 3 No, respondent not available 4 No, respondent no longer a household member Go to Exit 5 Wrong number Go to Exit * Go to II_R01, IC_R01, LP_Q01, MON_R01 SRA_Q01 (Call condition if SR_Q01=3) I would like to contact ^RespName. When would {he/she} be available? 1. Make hard appointment (Go to APP_N01) 2. Make soft appointment (Go to APP_N01) 3. Not available DK, RF SS_ND INTERVIEWER: This is the end of SS. Press <1> to continue. ______________________________________________________________________________ INT_BEG Beginning of Survey Introduction module