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T : 2012 National Census Test
Internet Instrument Design Document
February 23, 2012 DRAFT
General Overview 1
Introductory Screens 7
Welcome 7
Login1 8
Confirm 9
Verify 9
PIN 10
Login2 11
Security 12
Roster Screens 13
Address 13
Respondent 14
Anyone 15
Who 15
New 16
Others 17
Popcount 18
People 19
Undercount Screens 20
Miss 20
Stay 21
Add1 22
Add2 23
Add3 24
Add4 25
Demographic Screens 26
Home 26
Owner 27
Renter 28
Relationship 29
Sex 30
Age 30
Race1 33
Race2 35
Overcount Screens 37
Elsewhere 38
Delete1 39
Delete2 40
Delete3 41
Delete4 42
Delete5 43
Delete6 44
Delete7 45
Fullstay 46
Most 47
Where 48
Permanent 49
Review & Submit Screens 50
General Overview
Screen Layout
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The image above is an example of the 2010 Census Quality Survey (CQS) question screen layout (without the progress indicator). The 2012 NCT will have a similar layout regarding the menu bar, menu buttons, and placement of the questions and navigation buttons. The biggest changes to the layout include the removal of the progress indicator and changing the color and look of the instrument. ASD will provide DSSD with an example regarding the banner, the colors, and the general style of the instrument.
The menu bar will include three button options: Instructions, Frequently Asked Questions (FAQs), and Logout. The Instructions and FAQs buttons enable respondents to obtain survey-related information from every screen. More information about the specific contents of the Instruction and FAQ screens can be found in Sections 1.2.1 and 1.2.3 respectively. The logout button allows respondents to leave the survey and reminds them that they will need their Personal Identification Number (PIN) on subsequent logins. More information about logout procedures can be found in Section 1.2.3
Three links at the bottom of every screen will provide information on Accessibility, Privacy, and Security. The Accessibility and Privacy links should both open new windows that display information from the Census Bureau website:
Accessibility displays http://www.census.gov/privacy/privacy_policy/document_accessibility.html
Privacy displays http://www.census.gov/privacy/
The Security link will also open a new window (shown below) but does not provide information from the Census Bureau website. Instead, the Security information is provided in the same format as the rest of the 2012 NCT and is a standard security message that is provided on other web surveys created by ASD.
Security Information Screen
Menu Bar Buttons
1.2.1 Instructions
The Instructions menu button will link to a set of instructions that appear on top of the current survey screen. This new window should not be a not pop-ups because many people have pop-up blockers on their computers. The window will have an X in the upper right hand corner, as well as a close button at the bottom to close the window. If a window is not closed, it will slip to the background when the respondent presses the Next button in the instrument. If they click the Instruction or FAQs link again, the new window will replace the old window that was never closed, and once again, come to the foreground.
The above image is an example of the Instructions window. Respondents will able to see all survey instructions in one place. The complete contents of the Instructions window are displayed below:
Who should complete the survey: This survey can be completed by the person who owns or rents the living quarters or any other person who is at least 15 years of age.
Navigation: Do NOT use the Forward or Back buttons on your browser to navigate from screen to screen. Use only the Next or Previous buttons on the bottom of each screen.
Changing Responses: For questions where you must choose a single response from a list, clicking the correct response will change your answer to that response. If it is a check all that apply question, you may click on a selected check box to unselect the box and remove it as one of your answers.
Survey Time out: For your security, this survey will automatically time out after 15 minutes of inactivity. If you need to leave the survey for more than 15 minutes, please click Logout on the survey menu bar so you may return to the survey at a later time. All of your information will be saved. When you return to the survey, you will begin at the same point where you left. If you exit before submitting the survey, you will need your PIN in order to get back into the survey. Your PIN will be provided to you during the survey, once we have confirmed the address for which you are completing the survey.
Exiting and Returning to the Survey: If you need to leave the survey before you have fully completed it, you may click Logout on the survey menu bar. When you return to the survey, you will begin at the same point where you left. If you log out before submitting the survey, you will need your PIN in order to get back into the survey. Your PIN will be provided to you during the survey, once we have confirmed the address for which you are completing the survey.
Help with Survey Questions: If you need assistance on a specific survey question, use the (Help) link that appears with that question.
Submitting your Survey: You will be asked to submit your answers when you have completed the survey. Once you have submitted your survey and are shown the confirmation page you may close the web browser. You do NOT need to do anything further to complete the survey.
1.2.2 FAQs
Similar to Instructions, the FAQs menu button will link to a set of frequently asked questions that appear on top of the current survey screen. This new window should not be a not pop-ups because many people have pop-up blockers on their computers. The window will have an X in the upper right hand corner, as well as a close button at the bottom to close the window. If a window is not closed, it will slip to the background when the respondent presses the Next button in the instrument. If they click the Instruction or FAQs link again, the new window will replace the old window that was never closed, and once again, come to the foreground.
The above images are examples of the FAQs window. Respondents initially see the image on the left, in which each FAQ is a separate link they can click on. Once an FAQ link is selected, the selection expanded to display that specific text. This is illustrated by the image on the right in which the respondent clicked on the "Who should complete the survey" FAQ. Respondents will be able to see all of the FAQ topics and can then expand/contract the specific information, as they desire. The complete contents of the FAQ window are displayed below:
Q. Why was I selected for this survey? The U.S. Census Bureau chose your address, not you personally, as part of a randomly selected sample. Your address was selected to represent a cross section of other households in your community.
Q. Do I have to complete this survey? This survey is voluntary, but will only take about 10 minutes.
Q. Who should complete the survey? This survey can be completed by the person who owns or rents the living quarters or any other person who is at least 15 years of age.
Q. How do I change my answers? For questions where you must choose a single response from a list, clicking the correct response will change your answer to that response.
If it is a check all that apply question, you may click on a selected check box to unselect the box and remove it as one of your answers.
For more information on how to complete the survey, click Instructions on the survey menu bar.
Q. How long will it take to complete this survey? The U.S. Census Bureau estimates that, for the average household, this survey will take about 10 minutes to complete, including the time for reviewing the instructions and answers.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction Project 0607-0960-C, U.S. Census Bureau, AMSD-3K138, 4600 Silver Hill Road, Washington, DC 20233. You may e-mail comments to paperwork@census.gov; use Paperwork Project 0607-0960-C as the subject.
Respondents are not required to respond to any information collection unless it displays a valid approval number from the Office of Management and Budget. The OMB approval number for this survey is 0607-0960.
Q. What types of questions will I be asked? This survey will ask if the housing unit is rented or owned, it will ask for the names of everyone living in the household and, for each person living in the household, we ask name, relationship to householder, sex, age/date of birth, Hispanic origin, race, and whether or not the person sometimes lives or stays somewhere else.
Q. What is the Census Bureaus authority for conducting this survey? We are conducting this survey under the authority of Title 13 United States Code Section 182. This survey has been approved by the Office of Management and Budget (OMB). For this survey, the OMB approval number is 0607-0960.
Q. Do you share my data with other agencies such as Immigration and Customs Enforcement, the Federal Bureau of Investigations, the Internal Revenue Service, courts, or the police? No, individual responses are not shared with anyone, including government agencies or private organizations. Title 13 of the United States Code protects private information from ever being published. It is against the law to disclose or publish any private information (names, telephone numbers, etc.) that identifies an individual or business. We use your information to produce statistics. Your personal information cannot be used against you by any government agency or court.
Q. How does the Census Bureau protect my survey data? Federal law protects your information, and we have developed policies and statistical safeguards to help us follow the law and further ensure the confidentiality of your information.
Federal Law: Title 13 of the United States Code protects the confidentiality of all your information. Violating this law is a crime with severe penalties.
Privacy Principles: Our Privacy Principles are guidelines that cover all of our activities. These principles encompass both our responsibilities to protect your information and your rights as a respondent. They apply to the information we collect and the statistics we publish.
Statistical Safeguards: Statistical methods ensure that the statistics we release do not identify individuals or businesses. These methods include extensive review and analysis of all our data products, as well as disclosure avoidance methodologies such as data suppression and modification.
Your information is confidential and we will never identify you individually. For more information, visit the Census Bureaus Data Protection and Privacy Policy webpage at: http://www.census.gov/privacy/.
Q. Is it safe to complete this survey online? In addition to the three guidelines above (Federal Law, Privacy Principles, and Statistical Safeguards), the following additional policies apply to personally-identifiable information provided in an online survey. More information on this topic can be found on the Data Protection and Privacy Policy webpage at: http://www.census.gov/privacy/.
For each online survey, we are required to provide an explanation to respondents about the confidentiality of the data and the laws that protect those data (e.g., Title 13, United States Code Section 9 (a)).
All web data submissions are encrypted in order to protect your privacy, even in the remote chance that your survey responses are intercepted.
Q. Will the results be published? The Census Bureau plans to make results of this study available to the general public.
Information quality is an integral part of the pre-dissemination review of the information disseminated by the Census Bureau (fully described in the Census Bureaus Information Quality Guidelines at http://www.census.gov/quality/quality_guidelines.htm). Information quality is also integral to the information collection conducted by the Census Bureau and is incorporated into the clearance process by the Paperwork Reduction Act.
1.2.3 Logout
If respondents click the Logout button, they are shown the following Logout screen.
The Continue button takes respondents back to the screen they were on last.
The Logout button ends a respondents session and takes them back to the Login screen.
Item-Specific Help
The item-specific help windows will perform the same way as the Instructions and FAQs windows. A respondent will click on the Help link next to the question and a new window will open on top of the current survey window. As with the Instructions and FAQs windows, the Help windows will have an X in the upper right hand corner, a Close button at the bottom, and will slip to the background when the respondent presses the Next button in the instrument.
The exact content of the item-specific help windows can be found within the detailed information for each screen in Sections 3 through 6.
Edit Messages
Most data items will be subject to soft edits. When an error is made (e.g., the respondent presses Next and an item is left blank or the response is invalid), a message with red text should appear at the top of the screen, above the main question, indicating that there is a problem with the information entered (see example below). The respondent will be given the opportunity to change the information and continue. However, if nothing is changed and the respondent again presses Next, they are allowed to bypass the error and continue entering data for the next question. The generic soft edit message states, Please provide an answer to the question. Specific edit messages, for all items, can be found within the detailed information for each screen in Sections 3 through 6.
2. Introductory Screens
Respondents are first shown a welcome screen that introduces them to the survey and provides the Warning messages telling respondents that their usage of this instrument will be monitored and recorded. They are then asked to log in (Login1) using the access code found in their mailing materials. After logging in, respondents are asked to confirm that they are completing the survey for the sampled address (confirm). If respondents indicates that the sampled address is not correct, they are asked to provide their access code again (verify) to determine if the error is due to a mistyped access code. If they enter a different access code, they are asked to confirm the address for that new access code. If this address is correct, they can continue with the survey. If not, they go to the verify screen for the new access code. On verify, if they enter the same access code as before, it is likely not a typo. At this point, our assumption is that the address they are trying to complete the survey for is out of sample and the respondent is told they do not need to complete the survey. Once we have confirmed that the respondent is completing the survey for the sampled address, they are given a PIN to be used during subsequent logins. On the PIN screen, they are also asked to select and answer a verification question. This question and answer combination will be used if the respondent forgets their PIN.
If a respondent logs into the instrument (Login1) and their access code is flagged as being used before, they will be asked to provide their PIN (Login2). If they successfully enter the PIN, they are taken to the screen they left off at during their last login. After three unsuccessful PIN attempts, the respondent is taken to a screen that allows them to access the survey using their verification question response (security). The login2 screen also had a link that says Click here if you have forgotten your PIN that will allow respondents who do not know their PIN to immediately go to the security screen. The security screen displays the verification question the respondent selected earlier and asks for the correct response. There is a link on this screen that say Click here if you have forgotten your verification question response which will display the message For assistance, please call 1-800-XXX-XXXX. After three incorrect attempts at answering the verification question, the access code will be locked out for 15 minutes and the assistance message will be displayed.
2.1 Welcome
Screen nameWelcomeContentSame as the Welcome screen from CQS, with updated survey name and OMB info.BranchingDisplay Login1 Special instructionsThe form number, OMB number, and approval expires date (in the footer) will need to be updated. This information is not available at the present time.2.2 Login1
Screen nameLogin1ContentSame as the Login screen from CQS, with updated OMB information. (If we can change the screen name, from Login to Login1, that is preferable but not imperative.)Data neededList of valid access codes from input file.UniverseAllPrevious screen(s)WelcomeBranchingDisplay Confirm Special instructionsThe project number (in the burden statement) and the form number, OMB number, and approval expires date (in the footer) will need to be updated. This information is not available at the present time.
2.3 Confirm
Screen nameConfirmContentSame as the confirm screen from the CQS, with the updated survey name.Data neededFull sample addressUniverseAllPrevious screens(s)Login2 or 3rd incorrect entry on SecurityQuestion wordingSee example imageResponse optionsYes/No Radio ButtonsBranchingIf Yes or blank, display address
If No, display verifyHelp textWe need to make sure that you are completing this survey for the correct address. The address in this question should match the one to which we mailed your survey invitation letter. If this address is not the same, please answer "no" to this question.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsRemove the Previous button from this screen.
2.4 Verify
Screen nameVerifyContentSame as verify screen from CQS.Data neededAccess codeUniversePeople who respond No to confirmPrevious screens(s)ConfirmQuestion wordingSee example image.Response optionsTwo numeric text boxes (5 characters each) separated by a hyphen.BranchingIf verify access code = login access code, display message: For assistance, please call 1-800-XXX-XXXX.
If verify access cod e `" l o g i n a c c e s s c o d e , d i s p l a y C o n f i r m f o r n e w c o d e
I f v e r i f y a c c e s s c o d e i s b l a n k , d i s p l a y L o g i n
I f v e r i f y a c c e s s c o d e i s i n v a l i d , d i s p l a y L o g i n ( w i t h t h e i n v a l i d l o g i n e r r o r m e s s a g e ) H e l p t e x t N o n e . E d i t s / E r r o r s N o n e . S p e c i a l i n s t r u c t i o n s D i s p l a y t h i s screen content on same screen as confirm but gray-out the text for confirm and do not allow respondents to alter their answer to confirm.2.5 PIN
Screen namePINContentSame as PIN screen from CQS with the addition of the verification question text and responses.Data neededRandomly generated PIN.
Full list of verification questions.UniverseEveryone who is eligible to complete the survey.Previous screens(s)ConfirmQuestion wording(See image above)Response optionsOne drop down box with pre-filled verification question options
One 50-character text box that is not case sensitive.Branching Display address.Help textNone.Edits/ErrorsN/ASpecial instructionsRemove the Previous button from this screen.
2.6 Login2
Screen nameLogin2ContentSame as the screen from CQS that asked for the PIN (I think it was called Login_Again), but with an additional link that says: Click here if you have forgotten your PIN. (If we can change the screen name, from Login_Again to Login2, that is preferable but not imperative.)Data neededList of valid access codes from input file.
PINs and verification question responses for corresponding access codes.UniverseEverybody who logins in and has been assigned a PIN.Previous screen(s)WelcomeBranchingIf correct PIN is entered, display last screen respondent was on
On first or second incorrect entry, display error message: Failed login. Please try again.
On third incorrect PIN entry, display Security for the last access code entered.
If the Click here link is clicked, display Security.Special instructionsThe project number (in the burden statement) and the form number, OMB number, and approval expires date (in the footer) will need to be updated. This information is not available at the present time.
2.7 Security
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Screen nameSecurityContentNew contentData NeededNoneUniverseRespondents who are unable to provide their PIN, determined by:
Entering the wrong PIN three times on Login2 OR
Clicking the Click here if you have forgotten your PIN link from Login2.Previous screens(s)Login2 or VerifyQuestion wordingSee example imageResponse optionsOne 50 character alpha-numeric text box that is not case sensitive.BranchingIf correct response is entered, display last screen respondent was on
On first or second incorrect entry, display error message: Incorrect response. Please try again.
On third incorrect response entry, display message: For assistance, please call 1-800-XXX-XXXX.
If the Click here link is clicked, display message: For assistance, please call 1-800-XXX-XXXX.Help textNoneEdits/ErrorsNoneSpecial instructionsNone
NOTE: The reference date for all questions will be September 12, 2012.
3. Roster Screens
Everybody is asked if they lived at the sampled address (address) and, if so, are asked to provide their name (respondent). If the respondent did not live at the sampled address, they are asked if anyone lived at the sampled address (anyone) and if they know who those people were (who). If the respondent did not live at the sampled address and they indicate that nobody else lived at the sampled address or they do not know who lived at the sample address, the respondent is asked to provide their own address (new). This address is then used as the reference address throughout the instrument and a new ID is created for this household.
At this point, the roster screens divides into two separate paths. Roster path A1 (flag_roster = 1) asks for a count of everybody who lived at the sampled address (popcount), whether it was the respondent or other people, before collecting the roster (people). If the respondent lived at the sampled address, roster path A2 (flag_roster = 2) asks the respondent if anybody else lived at the sampled address with them (others). If so, they are asked to build a roster (people). If the respondent indicates that nobody else lived at the sampled address with them, we know that that the household contains one person and a roster is not collected because we already have their name from the respondent screen. If the respondent did not live at the sampled address but indicated that other people did (anyone) and they knew who these people were (who), roster path A2 asks the respondent to build a roster of those people on the people screen.
3.1 Address
Screen nameAddressContentSame as address screen from the CQS with updated reference date.Data neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseAllPrevious screens(s)ConfirmQuestion wordingSee example imageResponse optionsYes/No Radio ButtonsBranching If Yes, display respondent
If No or blank, display anyoneHelp textAnswer yes if you were living and sleeping at the address in this question on September 12, 2012.
Otherwise, answer no.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.3.2 Respondent
Screen nameRespondentContentSimilar to right_resp from the CQS with the addition of phone number and some changes to the edits and help. Same programming and logic as resp_name from ACS.Data neededNoneUniversePeople who said Yes to address.Previous screens(s)Address1 or Address2Question wordingSee example imageResponse optionsFirst Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text box
Area code: 3-digit text box
Number: 3-digit text box and 4-digit text box, separated by a hyphen.BranchingIf flag_roster = 1 go to popcount
If flag_roster = 2 go to othersHelp textNone, unless ACS has help text that they use. Edits/ErrorsIf name is blank, display: Please provide your name. If you are uncomfortable providing your name, please provide a nickname or description so that you will know who each question refers to.
If phone number is blank or < 10 characters or contains characters other than numbers display the message: Please enter a 10-digit phone number.Special instructionsThere is a possibility that the instruction (We may contact you if there is a question) will need to be changed.
3.3 Anyone
Did anyone live at
on September 12, 2012? (Help)
Yes
No
Screen nameAnyoneContentNew content.Data neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseRespondents who say No to addressPrevious screens(s)AddressQuestion wordingSee example imageResponse optionsYes/No Radio ButtonsBranchingIf YES, go to who
If No, go to newHelp textAnswer yes if anyone other than yourself is now staying at the address in this question and was also living and sleeping at that address on April 1, 2010.
Otherwise, answer no.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsNone
3.4 Who
Do you know who lived at on September 12, 2012?
Yes
No
Screen nameWhoContentNew contentData neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseRespondents who say Yes to anyonePrevious screens(s)AnyoneQuestion wordingSee example imageResponse optionsYes/No Radio ButtonsBranchingIf Yes AND flag_roster = 1, go to popcount
If Yes AND flag_roster = 2, go to people
If No, go to newHelp textNone, unless Dave/Ashley feel this question needs help text.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsNone
3.5 New
Where did you live on September 12, 2012? (Help)
Address (Number and street name)
________________________________
City
___________________
State
_______
Zip Code
_______
If there is no street address or if this is a facility, please type a description in the box below.
<250-character text box>
Screen nameNewContentSame as fullstay from the CQS with a different question stem.Data neededNoneUniverseRespondents who say No to anyone.Previous screens(s)Address1Question wordingSee example imageResponse optionsWrite in boxes for the address collection:
Address: 45-character text box
City: 30-character text box
State: drop down menu with state names in alphabetical order
Zip: 5-character text box
250-character text box for descriptionBranchingIf flag_undercount =1, go to Miss.
If flag_undercount =2, go to Add1.Help textPlease type in the full address of the place where you sometimes lived on September 12, 2012. Type in the house number, street name, apartment number (if
needed), rural route address (if needed), city, state, and zip code.
If there is no address, please type a description of the location for this place in the
box provided at the bottom of the screen. For example: "the apartment on the top
floor above 'Baskin Robbins' near intersection of Allen St. and College Ave., in State
College, PA."Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsWe now need to use this address as the reference address. If they do not provide a apt/bldg number and street name, what do we use as the fill? We also need to determine how to indicate this to ASD.
3.6 Others
Was there anyone else living or staying at on September 12, 2012? (Help)
Yes
No
Screen nameOthersContentNew contentData neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseRespondents who say Yes to address and have flag_roster = 2.Previous screens(s)AddressQuestion wordingSee example image.Response optionsYes/No Radio ButtonsBranchingIf YES, go to Roster
If No AND undercout_flag = 1, go to Miss
If No AND flag_undercount = 2, go to Add1Help textAnswer yes if anyone other than yourself is now staying at the address in this question and was also living and sleeping at that address on April 1, 2010.
Otherwise, answer no.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf respondents say No to this question, they are never taken to the roster screen (people) and we use the name provided on respondent as the fill for the remaining questions. If they did not provide a name on respondent, we probably need the name fill to revert to You/Your but will need to discuss this with ASD.
3.7 Popcount
The census must count every person living in the United States on .
Count the people who live at using our guidelines.
We need to count people where they usually live and sleep
For people with more than one place to live, we need to count them at the place where they sleep most of the time
Do NOT INCLUDE these people
(they will be counted at the other place):
College students who live away from this address most of the year
Armed forces personnel who live away
People who, on [, were in a nursing home, mental hostpial, jail, prison, detention center, etc.
Also, do INCLUDE these people:
Babies and children living here, including foster children
Roommates
Boarders
People staying here on ][ who have no permanent place to liveHow many people were living or staying at on ][, ? ____ (Help)
Screen namePopcountContentNew contentData neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseRespondents who say yes to address AND have flag_roster = 1.Previous screens(s)Address1Question wordingSee example imageResponse optionsOne 3-digit text box.BranchingIf popcount = 1 AND flag_undercount = 1, go to Miss
If popcount = 1 AND flag_undercount = 2, go to Add1
If popcount > 1, go to peopleHelp textEnter the number of people that live or stay at this address most of the time as of .
If your situation is not covered by the guidelines, look here: HYPERLINK "http://www.census.gov/population/www/cen2010/resid_rules/resid_rules.html" http://www.census.gov/population/www/cen2010/resid_rules/resid_rules.html
or here HYPERLINK "http://2010.census.gov/partners/pdf/langfiles/qrb_English.pdf%20" http://2010.census.gov/partners/pdf/langfiles/qrb_English.pdf for additional help.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf the respondent lives at the sampled address (determined by a Yes response on address), add include yourself to the end of the question. If not, remove this from the question.
We need to alter the first line since it refers to counting everybody in the census. Courtney is looking up what was used on the paper form as an alternative.
3.8 People
Screen namePeopleContentSame as people screen from the CQS with updated reference date and new edit messages.Data neededPartial address: Street address and apt/building number only. No city, state, or zip.
Name provided on respondent, if one was provided.UniverseEverybody except one person households where flag_roster = 2.Previous screens(s)PopcountQuestion wordingSee example imageResponse optionsFirst Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text boxBranchingIf any fields have a least one character AND flag_undercount =1, go to Miss.
If any fields have a least one character AND flag_undercount =2, go to Add1.
If blank, after second edit message, end survey and display nocomplete.Help textIn the spaces provided, type in the name (first, middle initial, and last) of every
person who was living and sleeping at the address in this question on September 12, 2010.
Enter the person's legal name, which is the name used to sign checks and other
important papers. If a person uses a first initial and a middle name, enter the initial
and name in the First Name field and leave the Middle Initial field blank. If the
person uses junior or senior, enter the last name and the suffix in the Last Name field.
If you have more people to report than the number of spaces provided, click on the
link directly below the last space to add more names.Edits/ErrorsIf skipped once: Please provide an answer to the question. Listing names helps to make sure that everyone in your household is included and no one is listed twice. If you are uncomfortable providing names, please provide nicknames or descriptions so that you will know who each question refers to."
If skipped a second time: "A list of household members is required to continue the survey.If you are uncomfortable providing names, please provide nicknames or descriptions so that you will know who each question refers to."
If skipped a third time:End the survey and display the NoComplete message.Special instructionsPre-fill the first response option with the name on right_resp, if applicable.
The Click here to add more people line is a hyperlink that reveals additional boxes, in sets of six at a time, up to 48 total lines.4. Undercount Screens
The undercount screens are used to alert respondents to people who are generally left off rosters, such as babies and unrelated household members. The undercount screens are divided into two paths. Undercount path B1 (flag_undercount = 1) uses one screen to ask about additional household members (miss) and a second screen to collect the names of the missing household members (stay). This method is similar to the 2010 Census Quality Sruvey. Undercount path B2 (flag_undercount = 2) uses a series of four screens (add1, add2, add3, and add4) to ask more detailed probes, collecting names along the way.
4.1 Miss
Names Listed:
Alpha A Smith
Beta B Smith
We do not want to miss any people who might have stayed at around September 12, 2012. Were there any additional people that you did not already list? (Help)
For Example:
Babies?
Foster children?
Any other relatives?
Roommates or people not related to you?
Anyone else staying at who had no permanent place to live on September 12, 2012?
Anyone else who usually lives or stays at but was away on September 12, 2012?
Anyone else living or staying at on September 12, 2012 who is no longer there?
Yes
No
Screen nameMissContentSimilar to miss from the CQS with different question and bulleted wording. Also, the addition of the last bullet in the help text.Data neededPartial address: Street address and apt/building number only. No city, state, or zip.
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseEveryone with flag_undercount = 1.Previous screens(s)Popcount, people, or newQuestion wordingSee example imageResponse optionsYes/No Radio ButtonsBranchingIf Yes go to stay
If No go to homeHelp textAnswer "yes" to this question if you need to add more names to the list of people who
lived or stayed at the address in this question on September 12, 2012.
The list of examples in this question contains the types of people that are sometimes
forgotten or not included because:
They are not related to you.
They are distant relatives.
They did not normally live there, but they were there on September 12, 2012 and had no permanent place to live.
They normally lived here on September 12, 2012, but have moved out since then.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsNone4.2 Stay
Screen nameStayContentThe stay screen from the CQS.Data neededRoster (all names from People or, if a 1-person HH, the name from Respondent)UniversePeople who said yes to miss.Previous screens(s)MissQuestion wordingSee example imageResponse optionsFirst Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text boxBranchingGo to HomeHelp textIn the spaces provided, type in the name (first, middle initial, last) of those additional
people.
If you have more people to report than the number of spaces provided, click on the link directly below the last space to add more names.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsThe Click here to add more people line was a hyperlink that reveals additional
boxes, in sets of three at a time, up to nine total lines.
4.3 Add1
Names Listed:
Alpha A Smith
Beta B Smith
We do not want to miss any people who might have stayed at around September 12, 2012. Were there any additional people that you did not already list? (Help)
For example:YesNoBabies?
Foster children?
Any other relatives?
Roommates or people not related to you? %
%
%
% %
%
%
%
W h e n Y e s i s s e l e c t e d , t h e l i s t d r o p s d o w n a n d a p l a c e t o p r o v i d e t h e n a m e ( s ) i s p r o v i d e d .
S c r e e n n a m e A d d 1 C o n t e n t N e w c o n t e n t . D a t a n e e d e d P a r t i a l a d d r e s s : S t r e e t a d d r e s s a n d a p t / b u i l d i n g n u m b e r o n l y . N o c i t y , s t a t e , o r z i p .
R oster (all names from People or, if a 1-person HH, the name from Respondent)UniverseEveryone with flag_undercount = 2.Previous screens(s)Popcount, people, or newQuestion wordingSee example imageResponse optionsYes/No Check Boxes
First Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text boxBranchingGo to Add2Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsOnly one response is allowed for each entry. For example, if the Yes is marked and the respondent then marks No the Yes response should be blanked out.
The name boxes should only appear when Yes is marked. If the respondent unchecks Yes or marks No (therefore removing the Yes entry) the name boxes should disappear and the screen should revert to the image in the first example.
ACS has a grid question similar to this and, if they found a better way to display it, we may change the look of this question.
Dave/Ashley are you ok with the term Name instead of What is that persons name?
4.4 Add2
Was there anyone else staying at who had no permanent place to live on September 12, 2012?
Yes
No
When Yes is selected, the list drops down and a place to provide the name(s) is provided.
Was there anyone else staying at who had no permanent place to live on September 12, 2012?
Yes
No
Name:
(Click here to add more names)
Screen nameAdd2ContentNew contentData neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseEveryone with flag_undercount = 2.Previous screens(s)Add1Question wordingSee example imageResponse optionsYes/No Check Boxes
First Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text boxBranchingGo to Add3Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsAdd the Names listed and roster names to the top of the question. This is similar to Add1, shown previous, as well as how miss is designed in both the CQS and this test.
The name boxes should only appear when Yes is selected. If the respondent clicks No (therefore removing the Yes entry) the name boxes should disappear and the screen should revert to the image in the first example.
Dave/Ashley are you ok with the term Name instead of What is that persons name?
What happens if they do not provide a name? Will the roster have a blank line? Can we use some kind of fill in this case? Should we have a specific edit for when they select Yes but do not provide a name? Do we add a person to the roster if the Yes is clicked but not name is provided? Do we only add to the roster if a name is provided?
4.5 Add3
Was there anyone else who usually lives or stays at but was away on September 12, 2012?
Yes
No
When Yes is selected, the list drops down and a place to provide the name(s) is provided.
Was there anyone else who usually lives or stays at but was away on September 12, 2012?
Yes
No
Name:
(Click here to add more names)
Screen nameAdd3ContentNew contentData neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseEveryone with flag_undercount = 2.Previous screens(s)Add2Question wordingSee example imageResponse optionsYes/No Check Boxes
First Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text boxBranchingGo to Add4Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsAdd the Names listed and roster names to the top of the question. This is similar to Add1, shown previous, as well as how miss is designed in both the CQS and this test.
The name boxes should only appear when Yes is selected. If the respondent clicks No (therefore removing the Yes entry) the name boxes should disappear and the screen should revert to the image in the first example.
Dave/Ashley are you ok with the term Name instead of What is that persons name?
What happens if they do not provide a name? Will the roster have a blank line? Can we use some kind of fill in this case? Should we have a specific edit for when they select Yes but do not provide a name? Do we add a person to the roster if the Yes is clicked but not name is provided? Do we only add to the roster if a name is provided?
4.6 Add4
Was anyone else living or staying at on September 12, 2012 who is no longer there?
Yes
No
When Yes is selected, the list drops down and a place to provide the name(s) is provided.
Was anyone else living or staying at on September 12, 2012 who is no longer there?
Yes
No
Name:
(Click here to add more names)
Screen nameAdd4ContentNew contentData neededPartial address: Street address and apt/building number only. No city, state, or zip.UniverseEveryone with flag_undercount = 2.Previous screens(s)Add3Question wordingSee example imageResponse optionsYes/No Check Boxes
First Name: 13-character text box
MI: 1-character text box
Last Name: 20-character text boxBranchingGo to HomeHelp textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructions Add the Names listed and roster names to the top of the question. This is similar to Add1, shown previous, as well as how miss is designed in both the CQS and this test.
The name boxes should only appear when Yes is selected. If the respondent clicks No (therefore removing the Yes entry) the name boxes should disappear and the screen should revert to the image in the first example.
Dave/Ashley are you ok with the term Name instead of What is that persons name?
What happens if they do not provide a name? Will the roster have a blank line? Can we use some kind of fill in this case? Should we have a specific edit for when they select Yes but do not provide a name? Do we add a person to the roster if the Yes is clicked but not name is provided? Do we only add to the roster if a name is provided?
5. Demographic Screens
The demographic screens include two household-level questions, determining if the home is owned or rented and, if so, who owns or rents the home. Following the household-level screens are person-level screens asking for relationship, sex, age, and race/origin of each person on the roster. There are two versions of the race/origin screen, race1 and race2. Each version will be provided to half of the respondents.
5.1 Home
Screen nameHomeContentSame as home screen on the CQS with updated reference date.Data neededNone.UniverseEveryone who is eligible to complete the survey.Previous screens(s)Miss, Stay, or Add4Question wordingSee example imageResponse optionsFour Radio buttons (see example image)BranchingIf option 1 or 2 (either owned option), display owner
If option 3 (rented), display renter
If option 4 or blank, display relationHelp textOwned by you or someone in this household with a mortgage or loan
Select this response option to describe any house, apartment, or mobile home that has any type of loan secured by real estate. These liens may be called mortgages, deeds of trust, trust deeds, or contracts to purchase. Owner-occupied units with reverse mortgages and home equity loans are considered to be "owned with a mortgage or loan" as are owner-occupied mobile homes with installment loans.
Owned by you or someone in this household free and clear (without a mortgage or loan)
Select this response option to describe owner-occupied properties without any loans secured by real estate.
Rented
Select this response option to describe units where money rent is paid or contracted.
Occupied without payment or rent
Select this response option if the house or apartment is not owned or being bought by a member of the household and if money rent is not paid or contracted. For example - a house or apartment that is provided free to a janitor, caretaker, or superintendent in exchange for services.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsNone.
5.2 Owner
Screen nameOwnerContentSame as Owner-Owned screen from CQS, with updated date. If possible, wed like to change the name.Data neededPartial address: Street address and apt/building number only. No city, state, or zip.
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseRespondents who answered Response Option 1 or 2 (either of the owned options) on the previous screen (home).Previous screens(s)HomeQuestion wordingSee example imageResponse optionsCheck boxes where each name from the roster (all names from People or, if a 1-person HH, the name from Respondent) is assigned to a check box.BranchingDisplay relationshipHelp textPlease select the person who owns the residence at the address in this question.
If more than one person owns this residence you may select multiple people.
If none of the people in the list own this residence, please select the "None of the above" response option.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsThis question is used to select the reference person for the remainder of the survey:
If one person is selected, that person is the reference person.
If multiple people are selected, the first person listed - of those selected people - becomes the reference person.
If "None of the above" is selected, the reference person is the first person on the list.
If the respondent selects "None of the above" and any number of names, the reference person is the first (or only) person listed, that was selected.
If the respondent does not provide a selection (nonresponse), the reference person is the first person on the list.
5.3 Renter
Screen nameRenterContentSame as Owner-Rented screen from CQS, with updated date. If possible, wed like to change the name.Data neededPartial address: Street address and apt/building number only. No city, state, or zip.
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseRespondents who answered Response Option 3 (rented) on the previous screen (home).Previous screens(s)HomeQuestion wordingSee example imageResponse optionsCheck boxes where each name from the roster (all names from People or, if a 1-person HH, the name from Respondent) is assigned to a check box.BranchingDisplay relationshipHelp textPlease indicate the person who pays the rent for the residence at the address in this question.
If more than one person pays the rent for this place, you may select multiple people.
If none of the people in the list pay rent for this residence, please select the "None of the above" response option.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsThis question is used to select the reference person for the remainder of the survey:
If one person is selected, that person is the reference person.
If multiple people are selected, the first person listed - of those selected people - becomes the reference person.
If "None of the above" is selected, the reference person is the first person on the list.
If the respondent selects "None of the above" and any number of names, the reference person is the first (or only) person listed, that was selected.
If the respondent does not provide a selection (nonresponse), the reference person is the first person on the list.
5.4 Relationship
Screen nameRelationshipContentSame as Relationship from CQS, with updated Help text.Data neededReference person
Roster names (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll household members (except the reference person) from a 2+ person eligible household.Previous screens(s)Home, Owner, RenterQuestion wordingSee example imageResponse options14 Radio Buttons. (See example image; or use the information from the CQS)BranchingDisplay relationship for each remaining person in the household. Then, once all persons have been displayed, display sex.Help textOther relative
Related by birth, marriage, or adoption, but NOT one of the options listed. For example, niece or nephew. If a foster child is related to the householder, include in the appropriate relative category, such as grandchild,or include in the "Other relative" category.
Roomer or boarder
Occupies room(s) AND makes cash or non-cash payment(s)
Housemate or roommate
15 years old or over AND shares living quarters primarily to share expenses BUT does not share a close personal relationship
Unmarried partner
Shares close personal relationship, such as domestic partner
Other nonrelative
Not related AND not one of the options listed. If a foster child is not related to the householder, include in the "Other nonrelative" category.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the relationship question.Special instructionsThis screen is not displayed for single-person households.
This screen is not displayed for the reference person.
After the first time this screen is displayed, do not display the introductory sentence of Next, we need to, just display the question and response options.
5.5 Sex
Screen nameSexContentSame as Sex screen from CQS.Data neededThe name of each person on the roster.UniverseAll household members from an eligible household.Previous screens(s)Relationship or, in single person households, Home, Owner, or RenterQuestion wordingSee example imageResponse optionsMale/Femle Radio ButtonsBranchingDisplay sex for each person in the roster and then display age.Help textSelect the box that indicates the person's biological sex.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the sex question.Special instructionsNone.
5.6 Age
Screen nameAgeContentSame as Age from CQS, with updated reference date and drop down boxes for date of birth.Data neededThe name of each person on the roster.UniverseAll household members from an eligible household.Previous screens(s)SexQuestion wordingSee example imageResponse optionsMonth of birth drop down box containing: January (1) through December (12)
Day drop down box containing:
1-30 if month = April, June, September, or November
1-31 if month = January, March, May, July, August, October, December, or blank
1-29 if month = February
Year drop down box: Includes the years 1886-2012 in ascending order.
Age: One 3-character text box that accepts numeric entries only.BranchingDisplay age for each person in the roster and then:
If race_flag = 1 display race1
If race_flag = 2 display race2Help textThis question consists of two parts: the first part asks for the date of birth, and the second part asks for the age of the person.
If you know the date of birth, enter it. The person's age will be automatically calculated.
If you do not know the exact date of birth, enter as much as you know.
If you do not know the date of birth at all, leave it blank and fill in the person's age. If you don't know the age, please estimate.
Date of Birth
Enter the month, day, and year of birth in the spaces provided. If you do not know part of the date of birth (month, day, or year) please leave it blank and enter or confirm the age in the age box.
Age
Enter the person's age on September 12, 2012. Do not round the age up if the person was close to having a birthday. If you do not know the exact age, an estimate will do. For babies who were not yet one year old on September 1, 2012, enter 0. Edits/ErrorsThe following errors are only served after the first input. If errors are made again, no edits are given.
DATE OF BIRTH EDITS
If DOB pieces are missing (month, day, or year)
Highlight the missing field(s) and display If you dont know part of the date of birth (month, day, or year) please leave it blank and enter or confirm the age in the age box.
DOB is in the future
If the DOB is greater than the current survey date. Display the message Please check the date of birth. This date is in the future.
DOB does not exist
If
Month is between 01-12 and
Day is between 01-31 and
Year is between 1884 and 2010
Check if the date is a valid. If it is not a valid date, display the message Please check the date of birth. There is no such date.
Note: A date is valid if the day is between 01 and 31 for the months of January,
March, May, July, August, October, and December; or between 01 and 30 for the
months of April, June, September, and November; or between 01 and 29 for February
when the year is divisible by 4 (i.e., 2008, 2004, 2000, 1996, 1992, 1988, 1984, 1980,
etc.); or between 01 and 28 for February when the year is not divisible by 4.
AGE EDITS
Age is blank
If age is blank, display the message Please enter an age as of September 12, 2012. If you do not know the exact age, provide an estimate.
Age is out of range
If age is not between 0 and 125, display the message Please enter an age between 0 and 125. If you do not know the exact age, provide an estimate.
EDIT DISPLAYS
There should be a blank line between the DOB edit messages and any age edit
messages. For example:
Example 1
If you dont know part of the date of birth (month, day, or year) please live it blank and enter or confirm age in the age box.
Please enter an age as of September 12, 2012. If you do not know the exact age, provide an estimate.
Example 2
Please check the date of birth. This date is in the future.
Please enter an age between 0 and 125. If you do not know the exact age, provide an estimate.Special instructionsAfter a date of birth has been entered, determine whether age can be calculated. If so, calculate the age and pre-fill it in the age answer space. Allow the respondent to change the number.
Calculate the Age if:
1. there is a Month and Year of birth, and the Year is between 1886 and 2012, and the Month is not April; or
2. there is a Month and Year of birth, and the Year is between 1886 and 2012, and the Month is April, and there is a valid entry for Day.
5.7 Race1
Screen nameRace1ContentNew contentData neededThe name of each person on the roster.UniverseAll household members from an eligible household where race_flag = 1.Previous screens(s)AgeQuestion wordingSee example imageResponse optionsCheck boxes for each category
100-character text boxes for each write-in fieldBranchingDisplay race1 for each person in the roster and then:
If flag_overcount = 1 display Elsewhere
If flag_overcount = 2 display Delete1Help textRace
The Census Bureau collects race data in accordance with guidelines provided by the U.S. Office of Management and Budget and these data are based on self-identification. The racial categories included in the census questionnaire generally reflect a social definition of race recognized in this country, and not an attempt to define race biologically, anthropologically or genetically.
Origin
Origin can be considered as the heritage, nationality group, lineage, or country of birth of the person or the person's parents or ancestors before their arrival in the United States.
Category
Definition
White
The category 'White' refers to a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. It includes people who identify as 'White' or report entries such as Irish, German, Italian, Lebanese, Near Easterner, Arab, or Polish.
Black or African Am.
The category 'Black or African American' refers to a person having origins in any of the black racial groups of Africa. Terms such as 'Haitian' or 'Negro' can be used in addition to 'Black or African American.'
Hispanic, Latino, or Spanish origin
People of Hispanic, Latino, or Spanish origin are those who trace their origin or descent to Mexico, Puerto Rico, Cuba, the Spanish-speaking countries of Central or South America, and other Spanish cultures.
American Indian or Alaska Native
The category 'American Indian or Alaska Native' refers to a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
A person is enrolled in a tribe if he or she has met the membership requirements of a tribe and is included on the tribal roll. If not enrolled in a tribe, a person's principal tribe is the major or most significant tribal affiliation with which he or she most closely identifies. A person can report one or more enrolled or principal tribes.
Asian
The category 'Asian' refers to a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander
The category 'Native Hawaiian or Other Pacific Islander' refers to a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands, such as Tahiti or the Mariana Islands.
Some other race or origin
The category 'Some other race or origin' includes all other responses not included in the race and origin categories above.
Edits/ErrorsSoft edit for race/origin nonresponse: Please provide an answer to the question on race and origin.
Soft edit for any race/origin checkbox response with an associated write-in box that was left blank: Please enter the specific origin(s) in the space(s) below the checked box(es).
Special instructionsCheck boxes and text boxes are not tied to each other; the check box should not be automatically checked if something is entered into the corresponding text box.
Each text box will contain predictive text. The same predictive text will be available for each text box. The search should be begin when the third letter is entered. Respondents are not restricted to the list and should be able to enter anything they want This list is still being developed and will be provided when it is available.
5.8 Race2
Screen nameRace2ContentNew contentData neededThe name of each person on the roster.UniverseAll household members from an eligible household where race_flag = 2.Previous screens(s)AgeQuestion wordingSee example imageResponse optionsCheck boxes for each category
Three 100-character text boxes for write-ins.BranchingDisplay race1 for each person in the roster and then:
If flag_overcount = 1 display Elsewhere
If flag_overcount = 2 display Delete1Help textRace
The Census Bureau collects race data in accordance with guidelines provided by the U.S. Office of Management and Budget and these data are based on self-identification. The racial categories included in the census questionnaire generally reflect a social definition of race recognized in this country, and not an attempt to define race biologically, anthropologically or genetically.
Origin
Origin can be considered as the heritage, nationality group, lineage, or country of birth of the person or the person's parents or ancestors before their arrival in the United States.
Category
Definition
White
The category 'White' refers to a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. It includes people who identify as 'White' or report entries such as Irish, German, Italian, Lebanese, Near Easterner, Arab, or Polish.
Black or African Am.
The category 'Black or African American' refers to a person having origins in any of the black racial groups of Africa. Terms such as 'Haitian' or 'Negro' can be used in addition to 'Black or African American.'
Hispanic, Latino, or Spanish origin
People of Hispanic, Latino, or Spanish origin are those who trace their origin or descent to Mexico, Puerto Rico, Cuba, the Spanish-speaking countries of Central or South America, and other Spanish cultures.
American Indian or Alaska Native
The category 'American Indian or Alaska Native' refers to a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
A person is enrolled in a tribe if he or she has met the membership requirements of a tribe and is included on the tribal roll. If not enrolled in a tribe, a person's principal tribe is the major or most significant tribal affiliation with which he or she most closely identifies. A person can report one or more enrolled or principal tribes.
Asian
The category 'Asian' refers to a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander
The category 'Native Hawaiian or Other Pacific Islander' refers to a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands, such as Tahiti or the Mariana Islands.
Some other race or origin
The category 'Some other race or origin' includes all other responses not included in the race and origin categories above.
Edits/ErrorsSoft edit for nonresponse to first part of race/origin question (check boxes): Please provide an answer to BOTH questions on race and origin.
Soft edit for nonresponse to second part of race/origin question (text boxes): Please enter the specific race(s), origin(s), or tribe(s) in the spaces below.Special instructionsEach text box will contain predictive text. The same predictive text will be available for each text box. The search should be begin when the third letter is entered. Respondents are not restricted to the list and should be able to enter anything they want. This list is still being developed and will be provided when it is available.
6. Overcount Screens
The overcount screens are used to determine if there are additional addresses at which people could be counted. For example, group quarters (jails, colleges, military bases, etc.) use their own records to provide a count of the people who live there. If these people are also counted at their homes, they could be counted twice. This section contains two paths.
Overcount path D2 (flag_overcount = 1) provides a single screen (elsewhere) for each person on the roster to determine if this person sometimes lived or stayed at any of the types of locations (i.e., college housing, jail or prison, nursing home). If any Yes answers are provided, the respondent is asked to provide the address(es) (fullstay) of the location(s) mentioned in elsewhere. Once the address(es) are provided, the respondent is asked, where that person lived most of the time (most), where that person lived on the reference date (where), and which address that person considers there permanent or official address (permanent). Once this information is provided for that specific person, the respondent is taken to the elsewhere screen for the next roster person and the cycle continues. Once the information has been asked of each roster person, the survey is over and the respondent is able to review and/or submit their responses. This is the path used in the 2010 CQS.
Overcount path D3 (flag_overcount = 2) breaks the seven elsewhere location types into a series of seven screens to determine more detailed information regarding which specific locations each person had also lived (delete1 through delete7). In this path, if a respondent says Yes to a particular question, they are shown the roster and asked to select the individual people this situation pertains to. Once the names are selected, or if the respondent answered No to the original question, they are then asked about the next location type. This path also tailors the questions based on the composition of the household. The college housing question is only asked if the roster includes people between the ages of 18 and 25. Additionally, the question about living somewhere to be closer to a job (e.g., military) is only asked if the roster includes people between the ages of 18 and 60. After the seven location questions are asked and the respondent provides the names associated with each location, they are asked the same address questions as the respondents in the simplified path. The difference is that respondent in this path are asked the fullstay, most, where, and permanent cycle of question one after the other for each person who was identified as having another location they sometimes lived and stayed.
In both paths, these questions are tailored to remind the respondent the name of the person and the type of location being asked about (e.g., Please provide the full address of the prison or jail that Alpha A. Smith sometimes lived or stayed around September 12, 2012.). In order to do this, a series of flags are assigned to each location referenced in the elsewhere and delete screens. These flags are then used to provide the filler text for the question stems in fullstay (flag_location1 and flag_location2) as well as the response options in most, where, and permanent (flag_location3). These location flags can be seen in the table below.
Table 1. Location Flags
Elsewhere Response Optionflag_location1flag_location2flag_location3College housingof the college houseN/Acollege housing addressMilitaryN/Afor the militarymilitary addressSeasonal or second residenceof the seasonal or second residenceN/Aseasonal or second residenceChild custody arrangementN/Afor the child custody arrangementplace for child custodyPrison or jailof the prison or jailN/Aprison or jailNursing homeof the nursing homeN/Anursing homeAnother reasonN/Afor another reasonother placeNote: Due to the wording of the question stem in fullstay, different flags are needed for some of the location types (i.e., flag_location1 and flag_location2). We are still working on the best way to assign and use these flags.
Problem: The military flag is also problematic because D2 uses the phrase military but D3 simply refers to staying away to be closer to a job.
6.1 Elsewhere
Did sometimes live or stay at an address other than around September 12, 2012? Check all that apply. (Help)
NO
Yes, in college housing
Yes, in the military
Yes, at a seasonal or second residence
Yes, due to a child custody arrangement
Yes, in a prison or jail
Yes, in a nursing home
Yes, for another reason
Screen nameElsewhereContentNew contentData neededThe Partial address: Street address and apt/building number only. No city, state, or zip.
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 1Previous screens(s)Race1 or Race2Question wordingSee example imageResponse optionsSeven Check Boxes (see example image or use the elsewhere screen from CQS)BranchingDisplay Elsewhere for each roster person. If last person, go to Fullstay.Help textAnswer no if this person lived only at the address we have been asking about, and they did not live at another address around April 1, 2010.
Answer yes if this person sometimes lived at another address around April 1, 2010. Choose the option from the list provided that best describes the persons alternate residence. Or, choose Yes, for another reason (at the end of the list) if none of the options apply. For example, choose Yes, in college housing if this person was living away in college housing around April 1, 2010. You may choose all the options that apply. Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsThe response options will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.2 Delete1
Some people live or stay in more than one place and we would like to make sure everyone is only counted once.
sometimes live or stay somewhere else with a parent, grandparent, or other person? (Help)
Yes
No
[Note: If Yes and more than one person in the HH, display the following]
Who sometimes lives or stays somewhere else? Check all that apply.
Roster Name 1
Roster Name 2
Screen nameDelete1ContentNew contentData neededThe number of people in the household (for the do you/does anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent) UniverseAll respondents where flag_overcount = 2Previous screens(s)Race1 or Race2Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response optionsBranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH, go to Delete2
If No go to Delete2.Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Do you. If the HH has more than one person, start the sentence with Does anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.3 Delete2
sometimes live or stay at another home, like a seasonal or second residence? (Help)
Yes
No
[Note: If Yes and more than one person in the HH, display the following]
Who sometimes lives or stays somewhere else? Check all that apply.
Roster Name 1
Roster Name 2
Screen nameDelete2ContentNew contentData neededThe number of people in the household (for the do you/does anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 2Previous screens(s)Delete1Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response optionsBranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH go to Delete3.
If No go to Delete3.Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Do you. If the HH has more than one person, start the sentence with Does anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.4 Delete3 (Only displayed for roster persons aged 18-25)
staying away from while living in college housing on or off campus? (Help)
Yes
No
[Note: If Yes and more than one person in the HH is ages 18-25, display the following]
Who was living in college housing? Check all that apply.
Roster Name 1
Roster Name 2
Screen nameDelete3ContentNew contentData neededThe number of people in the household (for the were you/was anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 2 and the roster contains people aged 18-25.Previous screens(s)Delete2Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response optionsBranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH, go to Delete4
If No go to Delete4.Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Were you. If the HH has more than one person, start the sentence with Was anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.5 Delete4 (Only displayed for roster persons aged 18-60)
staying away from to be closer to a job (including military assignments)? (Help)
Yes
No
[Note: If Yes and more than one person in the HH is aged 18-60, display the following]
Who was living or staying away? Check all that apply.
Roster Name 1
Roster Name 2
Screen nameDelete4ContentNew contentData neededThe number of people in the household (for the were you/was anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 2 and the roster contains people aged 18-60.Previous screens(s)Delete3Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response optionsBranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH, go to Delete5
If No go to Delete5.Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Were you. If the HH has more than one person, start the sentence with Was anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.6 Delete5
sometimes stay in a place like a nursing home or a group home? (Help)
Yes
No
[Note: If Yes and more than one person in the HH, display the following]
Who was away? Check all that apply.
Roster Name 1
Roster Name 2
Screen nameDelete5ContentNew contentData neededThe number of people in the household (for the do you/does anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 2.Previous screens(s)Delete4Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response optionsBranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH, go to Delete6
If No go to Delete6Help textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Do you. If the HH has more than one person, start the sentence with Does anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.7 Delete6
recently in jail or prison? (Help)
Yes
No
[Note: If Yes and more than one person in the HH, display the following]
Who? Check all that apply.
Roster Name 1
Roster Name 2
Screen nameDelete6ContentNew contentData neededThe number of people in the household (for the were you/was anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 2.Previous screens(s)Delete5Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response optionsBranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH, go to Delete7
If No go to Delete7Help text Needs to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Were you. If the HH has more than one person, start the sentence with Was anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.8 Delete7
sometimes live away from for any reason other than those just mentioned? (Help)
Yes
No
[Note: If Yes and more than one person in the HH, display the following]
Who? Check all that apply.
Roster Name 1
Roster Name 2
Why?
_________________________
_________________________
_________________________
Screen nameDelete7ContentNew contentData neededThe number of people in the household (for the do you/does anyone fill).
Roster (all names from People or, if a 1-person HH, the name from Respondent)UniverseAll respondents where flag_overcount = 2.Previous screens(s)Delete6Question wordingSee example imageResponse optionsYes/No Radio buttons
Check boxes where the roster names are the response options
One 250-character text box for an open write in.BranchingIf Yes and more than one person in the HH, display the second half of the item.
If Yes and only one person in the HH, go to Fullstay
If No go to FullstayHelp textNeeds to be developed by Dave/AshleyEdits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsIf HH has one person, start the sentence with Do you. If the HH has more than one person, start the sentence with Does anyone.
The Yes response option will create three location flags named flag_location1, flag_location2, and flag_location3. The values for these flags are in Table 1 within Section 6. We are still working on how best to assign these flags and convey this information to ASD.
6.9 Fullstay
Please provide the full address where sometimes lived or stayed around September 12, 2012 . Fill in as much information as you know. (Help)
Address (Number and street name)
________________________________
City
___________________
State
_______
Zip Code
_______
If there is no street address or if this is a facility, please type a description in the box below.
_________________________
_________________________
Screen nameFullstayData neededThe name of each person on the roster.
The location flags (flag_location1 and flag_location2)ContentSimilar to fullstay from the CQS with updated reference date and additional pre-fillsUniverseRespondents who select at least one Yes' response to elsewhere AND respondents who select Yes to any of the questions from Delete1-Delete7.Previous screens(s)Elsewhere or Delete7Question wordingSee example imageResponse optionsAddress: 45-character text box
City: 30-character text box
State: drop down menu with state names in alphabetical order
Zip: 5-character text box
Description: 250-character text box for descriptionBranchingRepeat this screen for place_type flag from Elsewhere or each place_type flag from Delete1-Delte7, for each roster person with a flag.
On final person, display Most.Help textPlease type in the full address of the other place where this person sometimes stayed around September 12, 2012. Type in the house number, street name, apartment number (if needed), rural route address (if needed), city, state, and zip code.
If there is no address, please type a description of the location for this place in the box provided at the bottom of the screen. For example: "the apartment on the top floor above 'Baskin Robbins' near intersection of Allen St. and College Ave., in State College, PA."Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special InstructionsThere is only ever text in either flag_location1 or flag_location2; one will always be blank.
6.10 Most
Where does/do live and sleep most of the time? (Help)
The at
The at
Continue for all location flags for all addresses provided in fullstay for that person.
Both/all of these places equally
Equal time at both/all places.
Some other place
Do not know
Explain:__________________________
__________________________
Screen nameMostContentSimilar to Most from the CQS but with different prefills and response options.Data neededThe name of each person on the roster.
Partial Address: Street address and apt/building number only. No city, state, or zip.
Flag_location3UniverseRespondents who select at least one Yes' response to elsewhere AND respondents who select Yes to any of the questions from Delete1-Delete7.Previous screens(s)FullstayQuestion wordingSee example imageResponse optionsRadio buttons
250-character text boxBranchingDisplay where.Help textChoose the option that best describes where this person was staying MOST OF THE TIME as of April 1, 2010.
Here are some examples of what we mean by MOST OF THE TIME:
If, around the time of April 1, 2010, a person lived at one residence for part of each week and at another residence for the other part of each week, then that person was on a weekly cycle, and you should select the residence where that person stayed most of the time during each week (e.g., commuter workers).
The same concept would apply to someone who was on a monthly cycle (e.g., children in shared custody) or a yearly cycle (e.g., people with a seasonal residence). You should select the residence where that person stayed most of the time during each cycle (e.g., most of each month, or most of each year).
If the person stayed equal amounts of time at each place during each cycle, then you should select Both places equally.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsFor one person household, use Where do you live instead Where does Alpha A. Smith live in the question stem.
What about people who select Yes in elsewhere or delete1 through delete7 but do not provide an address? What gets filled into the response options? What if they only provide a description? What if, in delete1 through delete7, they do not select a name? What will be filled in for the name?
6.11 Where
Where was/were staying on September 12, 2012? (Help)
The at
The at
Continue for all location flags for all addresses provided in fullstay for that person.
Both/all of these places equally
Equal time at both/all places.
Some other place
Do not know
Explain:__________________________
__________________________
Screen nameWhereContentSimilar to Where from the CQS but with different prefills and response options.Data neededThe name of each person on the roster.
Partial Address: Street address and apt/building number only. No city, state, or zip.
All place_type flags.UniverseRespondents who select at least one Yes' response to elsewhere AND respondents who select Yes to any of the questions from Delete1-Delete7.Previous screens(s)MostQuestion wordingSee example imageResponse optionsRadio buttons
250-character text boxBranchingDisplay Permanent.Help textChoose the option that best describes where this person was staying on September 12, 2012.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsFor one person household, use Where were you staying instead Where was Alpha A. Smith staying in the question stem.
What about people who select Yes in elsewhere or delete1 through delete7 but do not provide an address? What gets filled into the response options? What if they only provide a description? What if, in delete1 through delete7, they do not select a name? What will be filled in for the name?
6.12 Permanent
What address would consider your/his/her permanent or official address? (Help)
The at
The at
Continue for all location flags for all addresses provided in fullstay for that person.
Both/all of these places equally
Equal time at both/all places.
Some other place
Do not know
Explain:__________________________
__________________________
Screen namePermanentContentNew content.Data neededThe name of each person on the roster.
Partial Address: Street address and apt/building number only. No city, state, or zip.
All place_type flags.UniverseRespondents who select at least one Yes' response to elsewhere AND respondents who select Yes to any of the questions from Delete1-Delete7.Previous screens(s)WhereQuestion wordingSee example imageResponse optionsRadio buttons
250-character text boxBranchingDisplay Review1.Help textChoose the option that best describes what you consider this persons permanent or official address to be as of September 12, 2012.Edits/ErrorsSoft edit for nonresponse: Please provide an answer to the question.Special instructionsFor one person household, use What address would you consider your permanent or official address.
For multiple person households use What address would consider his/her permanent or official address.
What about people who select Yes in elsewhere or delete1 through delete7 but do not provide an address? What gets filled into the response options? What if they only provide a description? What if, in delete1 through delete7, they do not select a name? What will be filled in for the name?
7. Review & Submit Screens
The review and submit sections of the 2012 NCT will perform exactly as they did in the 2010 CQS.
7.1 Review1
This is identical to the review2 screen from CQS. If we can change the name, it would be helpful. Aside from updating the survey name, all text, logic, and buttons are the same.
7.2 Review2
This is identical to the review3 screen from CQS. If we can change the name, it would be helpful. All text, logic, and buttons are the same. Responses are hyperlinks which, when clicked, will take respondents back to that item. If a response was not provided, then [NO ANSWER] will be shown instead. This will need to be updated to remove the origin tag since the race and origin items are now combined. For the reference person (Beta B. Smith, in the example above) the relationship response will be displayed as Not Applicable.
7.3 Return to Review
This is identical to the Return to Review screen and logic from CQS. If the respondent goes to an imtem to change a response, they can only go back to the review screen. This stops respondents from moving around in the instrument.
7.4 Submit
This is identical to the Submit screen from CQS. Aside from updating the survey name, all text, logic, and buttons are the same.
NoComplete
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