Reenumeration (RE) Section Subsection A
BOX_01 ======
----------------------------------------------------
| RU CLASSIFICATIONS: |
| |
| THE FOLLOWING RU CLASSIFICATIONS ARE USED |
| THROUGHOUT THE REENUMERATION SECTION IN SKIP AND |
| WORD FILL SPECIFICATIONS: |
| |
| STANDARD RU - AN RU (OTHER THAN A STUDENT RU) |
| THAT EXISTED IN THE PREVIOUS ROUND. DURING THE |
| INTERVIEW WITH THE STANDARD RU, INFORMATION MAY |
| BE OBTAINED THAT IDENTIFIES A ‘NEW RU’ OR A |
| ‘STUDENT RU’ AND A NEW CASE IS CREATED. SEE |
| DEFINITIONS BELOW. |
| |
| NEW RU - WHEN ONE OR MORE RU MEMBERS ARE |
| IDENTIFIED AS HAVING LEFT THE RU AND FORMED ONE |
| OR MORE NEW RUs, A NEW CASE IS CREATED FOR EACH |
| OF THE NEW RUs WHERE AT LEAST ONE KEY RU MEMBER |
| LIVES. IN THE CURRENT ROUND, THE CASE IS |
| CLASSIFIED AS A ‘NEW RU’ UNLESS IT SATISFIES THE |
| CONDITIONS FOR A ‘STUDENT RU’ (SEE DEFINITION |
| BELOW). IN THE NEXT ROUND, THE NEW RU WILL BE |
| RECLASSIFIED AS A ‘STANDARD RU’ SINCE IT EXISTED |
| IN THE PREVIOUS ROUND. |
| |
| STUDENT RU - WHEN AN RU MEMBER IS IDENTIFIED IN |
| A STANDARD OR NEW RU AS BEING AGE 17-23 |
| (INCLUSIVE), NEVER MARRIED, NON-MILITARY, AND |
| LIVING AWAY FROM THE STANDARD/NEW RU AT POST- |
| SECONDARY SCHOOL WITHIN THE U.S., AN RU IS |
| CREATED AND CLASSIFIED AS A ‘STUDENT RU’. THE |
| ‘STUDENT RU’ REMAINS CLASSIFIED AS A ‘STUDENT RU’ |
| UNTIL ONE OF THE CRITERIA FOR A STUDENT RU |
| CLASSIFICATION IS VIOLATED (E.G., AGE RANGE OR |
| MARITAL STATUS). (NOTE: A STUDENT RU IS ALWAYS |
| A SINGLE-PERSON RU.) |
----------------------------------------------------
----------------------------------------------------
| NOTE: THE NHIS ORIGINAL RUs ARE DETERMINED FROM |
| IN-HOUSE PRE-PROCESSING AND ARE CLASSIFIED AS |
| STANDARD RUs. |
----------------------------------------------------
----------------------------------------------------
| NOTE: REFERENCES TO THE RU-MEMBERS-ROSTER AND ‘RU |
| MEMBERS’ IN THESE SPECIFICATIONS INDICATE THE |
| ROSTER IN ITS CURRENT STATE; THAT IS, INCLUDING |
| ALL ADDITIONS TO AND DELETIONS FROM THE ROSTER |
| THAT OCCUR UP TO THE POINT AT WHICH THE REFERENCE |
| IS MADE. |
| |
| THEREFORE, IF ROUND 1, THE FIRST TIME A CASE IS |
| WORKED DURING THE ROUND, AT THE BEGINNING OF THE |
| RE SECTION, THE ROSTER INCLUDES ALL ORIGINAL NHIS |
| RU MEMBERS. IF NOT ROUND 1, THE FIRST TIME A |
| CASE IS WORKED IN THE ROUND, AT THE BEGINNING OF |
| THE RE SECTION, THE ROSTER INCLUDES ALL RU |
| MEMBERS WHO WERE ELIGIBLE OR INSTITUTIONALIZED |
| ON THE DATE OF THE PREVIOUS ROUND INTERVIEW. |
| |
| IN ALL ROUNDS, FOR A CASE THAT HAS HAD A BREAKOFF,|
| THE ROSTER INCLUDES PERSONS ELIGIBLE OR |
| INSTITUTIONALIZED AT THE END OF RE. FOR A SPLIT |
| RU, THE ROSTER INCLUDES RU MEMBERS WHO SPLIT FROM |
| THE ORIGINAL RU. |
----------------------------------------------------
RE01 ====
YOU HAVE SELECTED THE {STUDENT RU} CASE FOR {FULL NAME OF
REFERENCE PERSON}. THE RU MEMBERS ARE LISTED BELOW.
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name,[Middle Name],LastName-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
HAVE YOU SELECTED THE CORRECT CASE?
YES .................................... 1
NO ..................................... 2
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS THE RU- |
| MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘STUDENT RU’ IF STUDENT RU. OTHERWISE, |
| USE NULL DISPLAY. |
| |
| FOR ‘{FULL NAME OF REFERENCE PERSON}’ DISPLAY THE |
| FULL NAME OF PREVIOUS ROUND REFERENCE PERSON IF |
| STANDARD RU OR STUDENT RU. DISPLAY FULL NAME OF |
| OLDEST PERSON IN RU, IF NEW RU. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘2’ (NO), DISPLAY THE FOLLOWING MESSAGE: |
| ‘PRESS ENTER TO RETURN TO ‘ENTER ID’ SCREEN.’ |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (CORRECT CASE SELECTED), CONTINUE WITH |
| RE02 |
----------------------------------------------------
RE02 ====
{INTERVIEWER: READ INTRODUCTION JOB AID BEFORE CODING.}
{PLEASE NOTE: THIS IS A ROUND 5 INTERVIEW. QUESTIONS ARE
ASKED AS OF DEC 31, 2006 RATHER THAN ‘TODAY’.}
{THE RESPONDENT MUST HAVE BEEN LIVING IN THE RU ON
DEC 31, 2006 TO BE CODED AS AN RU MEMBER RESPONDENT.
OTHERWISE, CODE AS A PROXY.}
IS RESPONDENT:
RU MEMBER OR ........................... 1
PROXY APPROVED BY SUPERVISOR? .......... 2
[Code One]
PRESS F1 FOR RESPONDENT RULES.
----------------------------------------------------
| DISPLAY ‘INTERVIEWER: READ INTRODUCTION JOB AID |
| BEFORE CODING.’ IF NOT ROUND 1. OTHERWISE, USE |
| NULL DISPLAY. |
| |
| DISPLAY ‘PLEASE NOTE: THIS IS A ROUND 5 |
| INTERVIEW. QUESTIONS ARE ASKED AS OF DEC 31, 2006|
| RATHER THAN ‘TODAY’.’ IF ROUND 5. OTHERWISE, USE |
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND CODED ‘1’ (RU MEMBER) AND STANDARD |
| RU, GO TO RE05 |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND CODED ‘1’ (RU MEMBER) AND NEW RU, |
| GO TO RE05A |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND CODED ‘1’ (RU MEMBER) AND STUDENT |
| RU, GO TO RE05B |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND CODED ‘1’ (RU MEMBER) AND |
| STUDENT RU, GO TO RE06 AND SELECT STUDENT |
| AUTOMATICALLY BY CAPI, THEN GO TO RE09 |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND CODED ‘1’ (RU MEMBER) AND |
| STANDARD OR NEW RU, GO TO RE06 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (PROXY APPROVED BY SUPERVISOR), |
| CONTINUE WITH RE03 |
----------------------------------------------------
BOX_01A
=======
OMITTED.
BOX_01B
=======
OMITTED.
RE03 ====
INTERVIEWER: SINCE THIS IS AN INTERVIEW WITH A
PROXY, PLEASE EXPLAIN THE REASON(S) AN RU MEMBER
CANNOT BE THE RESPONDENT.
[Enter Text]
----------------------------------------------------
| IF ROUND 1 AND STANDARD RU, GO TO RE05 |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND NEW RU, GO TO RE05A |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND STUDENT RU, GO TO RE05B |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (NOT ROUND 1), GO TO RE07 |
----------------------------------------------------
LOOP_01
=======
OMITTED.
RE04
====
OMITTED.
END_LP01
========
OMITTED.
BOX_02
=======
OMITTED.
RE05 ====
{REFERENCE PERSON’S FIRST MIDDLE AND LAST NAME}
(As I mentioned earlier,) my records show that (PERSON)’s household
took part in the National Health Interview Survey on {MONTH, DAY,
YEAR OF NHIS INTERVIEW} and, at that time, the Census Bureau
interviewer mentioned that (PERSON)’s family might be contacted
again for another health related survey.
IF NEEDED, READ ALL OR PART OF THE FOLLOWING:
This survey, the Medical Expenditure Panel Survey, is also
for the U.S. Public Health Service [specifically, the Agency for
Healthcare Research and Quality and the National Center for
Health Statistics]. The information you provide will be kept
completely confidential and private as required by law.
PRESS ENTER TO CONTINUE.
---------------------------------------------------
| NOTE: IN ROUND 1, THE NAME IN THE CONTEXT |
| HEADER IS THE FULL NAME OF THE NHIS REFERENCE |
| PERSON. |
---------------------------------------------------
---------------------------------------------------
| IF RE02 CODED ‘1’ (RU MEMBER), GO TO RE06 |
---------------------------------------------------
---------------------------------------------------
| IF RE02 CODED ‘2’ (PROXY APPROVED BY SUPERVISOR),|
| GO TO RE08 |
---------------------------------------------------
RE05A =====
{REFERENCE PERSON’S FIRST MIDDLE AND LAST NAME}
(As I mentioned earlier,) my records show that (PERSON) (were/was)
a member of a household that took part in the National Health
Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW} and, at
that time, the Census Bureau interviewer mentioned that members of
that household might be contacted again for another health related
survey. Since (PERSON) (are/is) no longer living with that
household, we will interview this new household separately.
IF NEEDED, READ ALL OR PART OF THE FOLLOWING:
This survey, the Medical Expenditure Panel Survey, is also
for the U.S. Public Health Service [specifically, the Agency for
Healthcare Research and Quality and the National Center for
Health Statistics]. The information you provide will be kept
completely confidential and private as required by law.
PRESS ENTER TO CONTINUE.
---------------------------------------------------
| NOTE: THE NAME OF THE REFERENCE PERSON DISPLAYED|
| IN THE CONTEXT HEADER IS THE FULL NAME OF THE |
| OLDEST RU MEMBER. |
---------------------------------------------------
---------------------------------------------------
| IF RE02 CODED ‘1’ (RU MEMBER), GO TO RE06 |
---------------------------------------------------
---------------------------------------------------
| IF RE02 CODED ‘2’ (PROXY APPROVED BY SUPERVISOR),|
| GO TO RE08 |
---------------------------------------------------
RE05B =====
{REFERENCE PERSON’S FIRST MIDDLE AND LAST NAME}
(As I mentioned earlier,) my records show that (PERSON} (were/was}
a member of a household that took part in the National Health
Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW} and, at
that time, the Census Bureau interviewer mentioned that members of
that household might be contacted again for another health related
survey. Since (PERSON} (are/is) now a student and no longer living
with that household, we will interview (PERSON) separately.
IF NEEDED, READ ALL OR PART OF THE FOLLOWING:
This survey, the Medical Expenditure Panel Survey, is also
for the U.S. Public Health Service [specifically, the Agency for
Healthcare Research and Quality and the National Center for
Health Statistics]. The information you provide will be kept
completely confidential and private as required by law.
PRESS ENTER TO CONTINUE.
---------------------------------------------------
| NOTE: THE NAME OF THE REFERENCE PERSON DISPLAYED|
| IN THE CONTEXT HEADER IS THE FULL NAME OF THE |
| STUDENT. |
---------------------------------------------------
---------------------------------------------------
| IF RE02 CODED ‘1’ (RU MEMBER), SELECT STUDENT AT |
| RE06 AUTOMATICALLY BY CAPI, THEN GO TO RE09 |
---------------------------------------------------
---------------------------------------------------
| IF RE02 CODED ‘2’ (PROXY APPROVED BY SUPERVISOR),|
| GO TO RE08 |
---------------------------------------------------
RE06 ====
SELECT THE RESPONDENT.
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
| ROSTER. DU MEMBERS |
RE06_02. RUID |
RE06_03. GENDER |
RE06_04. AGE | RE06_05. INTERVIEW COMPLETED THIS ROUND |
|---|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
PRESS F1 FOR RESPONDENT RULES.
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS THE DU- |
| MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘NEW RU MEMBER NOT YET LISTED’ AS THE |
| LAST ENTRY ON THIS ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. THE MATRIX COLUMNS ARE DISPLAY-ONLY. THAT IS,|
| NO CHANGES ARE ALLOWED TO THE INFORMATION. |
| 3. THE ‘INTERVIEW COMPLETED THIS ROUND’ COLUMN |
| DISPLAYS AN ‘X’ FOR EACH PERSON WHO HAS |
| ALREADY BEEN INTERVIEWED THIS ROUND IN THE |
| STANDARD RU OR ANOTHER RU IN THIS DU. |
| 4. IF PERSON WITH AN ‘X’ IN ‘INTERVIEW COMPLETED |
| THIS ROUND’ COLUMN IS SELECTED, DISPLAY |
| MESSAGE: ‘PERSON CANNOT BE SELECTED. HAS |
| ALREADY BEEN INTERVIEWED WITH ANOTHER RU.’ |
| 5. IF AN RU MEMBER UNDER 18 IS SELECTED AS THE |
| RESPONDENT, DISPLAY MESSAGE ‘RESPONDENT < 18. |
| S/HE MUST BE APPROVED BY SUPERVISOR. RESELECT |
| TO VERIFY.’ |
| 6. IF INTERVIEWER SELECTS A PERSON FROM ANOTHER |
| RU, DISPLAY THE MESSAGE: ‘PERSON IS MEMBER |
| OF ANOTHER RU. VERIFY THAT PERSON JOINED OR |
| CORRECT SELECTION.’ |
----------------------------------------------------
----------------------------------------------------
| IF PERSON FROM ANOTHER RU IS SELECTED AND VERIFIED|
| AS THE RESPONDENT, ADD PERSON TO |
| RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| IF ‘NEW RU MEMBER NOT YET LISTED’ IS SELECTED, |
| CONTINUE WITH RE08 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (PERSON SELECTED AS RESPONDENT WAS |
| ALREADY IN DU IN THE PREVIOUS ROUND), |
| GO TO RE09 |
----------------------------------------------------
BOX_03
======
OMITTED.
RE07 ====
SELECT PROXY.
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last
Name-65] ...............................
[2. First Name,[Middle Name],Last
Name-65] ...............................
[3. First Name,[Middle Name],Last
Name-65] ...............................
[Code One]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS THE PERSONS|
| IN THE PERSONS-ROSTER (RU-LEVEL) THAT MEET THE |
| FOLLOWING CONDITION: |
| - PERSON WAS PROXY IN PREVIOUS ROUND |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘NEW PROXY APPROVED BY SUPERVISOR’ AS THE |
| LAST ENTRY ON THIS ROSTER. |
----------------------------------------------------
----------------------------------------------------
| ROSTER BEHAVIOR SPECIFICATIONS: |
| |
| 1. INTERVIEWER MAY SELECT A PERSON(S) ALREADY |
| LISTED ON THE ROSTER. |
| 2. INTERVIEWER SHOULD NOT BE ABLE TO EDIT ANY |
| OF THE NAMES. |
| 3. INTERVIEWER SHOULD NOT BE ABLE TO ADD NEW |
| PERSONS. |
| 4. INTERVIEWER SHOULD NOT BE ABLE TO DELETE ANY |
| PERSONS. |
----------------------------------------------------
----------------------------------------------------
| IF ‘NEW PROXY APPROVED BY SUPERVISOR’ IS SELECTED,|
| CONTINUE WITH RE08 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO RE09 |
----------------------------------------------------
RE08 ====
ENTER NAME OF {RU MEMBER/PROXY} RESPONDENT.
May I have your full name?
VERIFY SPELLING.
IF NO MIDDLE NAME OR INITIAL, ENTER ‘NMN’.
[Enter First Name,[Middle Name],Last Name-65] .....
----------------------------------------------------
| REFUSED AND DON’T KNOW DISALLOWED AT ALL FIELDS. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘RU MEMBER’ IF RE02 CODED ‘1’ (RU MEMBER).|
| |
| DISPLAY ‘PROXY’ IF RE02 CODED ‘2’ (PROXY APPROVED |
| BY SUPERVISOR). |
----------------------------------------------------
----------------------------------------------------
| IF ‘NEW RU MEMBER NOT YET LISTED’ SELECTED AT |
| RE06, ADD PERSON ENTERED AT RE08 TO |
| RU-MEMBERS-ROSTER |
| AND |
| FLAG PERSON AS ‘RU MEMBER ADDED AT RE08’. |
----------------------------------------------------
----------------------------------------------------
| IF ‘NEW PROXY APPROVED BY SUPERVISOR’ CODED AT |
| RE07, ADD PERSON ENTERED AT RE08 TO PERSONS-ROSTER|
| AND |
| FLAG PERSON AS ‘PROXY ADDED AT RE08’. |
----------------------------------------------------
RE09 ====
VERIFY LOCATING ADDRESS BELOW WITH RESPONDENT.
STREET ADDRESS1: {RU’S MOST RECENT ST. ADDRESS1}
STREET ADDRESS2: {RU’S MOST RECENT ST. ADDRESS2}
CITY: {RU’S MOST RECENT CITY}
STATE: {ST}
ZIP CODE: {ZIP CODE}
CORRECT ADDRESS ........................ 1 {RE10A}
SAME ADDRESS - MINOR CORRECTIONS ....... 2
NEW ADDRESS ............................ 3
[Code One]
PRESS F1 FOR DEFINITION OF LOCATING ADDRESS.
RE10 ====
MAKE CORRECTIONS TO LOCATING ADDRESS BELOW.
IF NO CORRECTION TO A FIELD IS NECESSARY, PRESS ENTER.
IF CORRECTION TO A FIELD IS NECESSARY, RE-TYPE ENTIRE FIELD.
TO DELETE A FIELD, TYPE THREE Xs (XXX).
Current Info: [STREET ADDRESS1]
[STREET ADDRESS2]
[CITY]
[STATE]
[ZIP CODE]
STREET ADDRESS1 (RE10_01): [_____________]
STREET ADDRESS2 (RE10_02): [_____________]
CITY (RE10_03): [_____________]
STATE (RE10_04): [_____________]
ZIP CODE (RE10_05): [_____________]
PRESS F1 FOR LIST OF STATE ABBREVIATIONS.
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED AT ALL FIELDS. |
----------------------------------------------------
RE10A =====
RECORD THE NAME OF THE COUNTY WHERE THIS RU IS LOCATED.
[Enter County Name -25] .........................
REF ............................................. -7
DK .............................................. -8
RE11 ====
VERIFY TELEPHONE NUMBER BELOW WITH RESPONDENT.
IF NO CORRECTION TO A FIELD IS NECESSARY, PRESS ENTER.
IF CORRECTION TO A FIELD IS NECESSARY, RE-TYPE ENTIRE FIELD.
IF NO TELEPHONE, ENTER ‘000’.
Current Info: [TELEPHONE NUMBER]
TELEPHONE NUMBER: [ ]
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| IF CURRENT INFO IS NOT AVAILABLE, ENTRY IS |
| REQUIRED FOR TELEPHONE NUMBER. (REFUSED AND |
| DON’T KNOW ARE ALLOWED AT ALL FIELDS.) |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND STANDARD SINGLE-PERSON RU OR NEW |
| SINGLE-PERSON RU (THAT IS, ANY NON-STUDENT |
| SINGLE-PERSON RU), |
| AND |
| RE02 CODED ‘1’ (RESPONDENT IS AN RU MEMBER), |
| GO TO RE47 |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND STANDARD SINGLE-PERSON RU OR NEW |
| SINGLE-PERSON RU (THAT IS, ANY NON-STUDENT |
| SINGLE-PERSON RU) |
| AND |
| RE02 CODED ‘2’ (RESPONDENT IS A PROXY APPROVED BY |
| SUPERVISOR), GO TO RE20 |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND MULTI-PERSON RU (WHETHER STANDARD |
| OR NEW), GO TO RE20 |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND NOT A STUDENT RU, GO TO BOX_09 |
----------------------------------------------------
----------------------------------------------------
| IF STUDENT RU, CONTINUE WITH RE11A |
----------------------------------------------------
RE11A =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
My records show that (PERSON) (are/is) a student at post-secondary
school. (Are/Is) (PERSON) attending school full-time or part-time?
PART-TIME .............................. 1
FULL-TIME .............................. 2
NOT ATTENDING SCHOOL ................... 3
REF ................................... -7
DK .................................... -8
[Code One]
BOX_03A =======
----------------------------------------------------
| IF STUDENT RU NOT CREATED IN CURRENT ROUND AND |
| RE11A CODED ‘3’ (NOT ATTENDING SCHOOL), CONTINUE |
| WITH BOX_03B |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO RE12 |
----------------------------------------------------
BOX_03B =======
----------------------------------------------------
| RU CLASSIFICATION CHANGE: CHANGE RU |
| CLASSIFICATION FROM STUDENT RU TO STANDARD RU |
| SINCE PERSON IS NO LONGER ATTENDING SCHOOL. |
----------------------------------------------------
----------------------------------------------------
| GO TO RE47 |
----------------------------------------------------
RE12 ====
VERIFY INFORMATION WITH RESPONDENT. CORRECT IF NECESSARY.
GENDER: 1 = MALE, 2 = FEMALE
IF AGE IS INCORRECT AND DATE OF BIRTH KNOWN, RE-ENTER DATE OF BIRTH.
IF AGE IS INCORRECT AND DATE OF BIRTH NOT KNOWN, PROBE FOR AGE AND
ENTER IF KNOWN.
{NOTE: FOR ROUND 5, AGE IS CALCULATED AS OF DEC 31, 2006.}
TO MOVE CURSOR, USE ARROW KEYS. TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER |
RE12_01. GENDER | RE12_02. DATE OF BIRTH |
RE12_03. AGE |
|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display/Correct Selection] |
[Display/ Correct Date] |
[Verify/Enter Age] |
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED IN ALL COLUMNS |
| EXCEPT ‘RU MEMBER’ COLUMN. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘NOTE: FOR ROUND 5, AGE IS CALCULATED AS |
| OF DEC 31, 2006.’ IF ROUND 5. OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS THE |
| RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE LEFT AND RIGHT ARROW |
| KEYS TO MOVE CURSOR AMONG CELLS. |
| 2. ALLOW INTERVIEWERS TO CORRECT GENDER, DATE OF |
| BIRTH, AND AGE (WHEN AGE NOT CALCULATED BY |
| CAPI). THE NAME CANNOT BE EDITED. |
| 3. INTERVIEWERS SHOULD NOT BE ALLOWED TO CHANGE |
| ‘REAL’ DATA TO ‘-7’ (REFUSED) OR ‘-8’ (DON’T |
| KNOW). IF INTERVIEWER TRIES TO DO SO, DISPLAY|
| MESSAGE ‘DO NOT REPLACE EXISTING INFORMATION |
| WITH REFUSED OR DON’T KNOW.’ |
| 4. IF DATE OF BIRTH IS CHANGED, CALCULATE AGE |
| AUTOMATICALLY BY CAPI USING NEW DATE OF BIRTH |
| AND DISPLAY CALCULATED AGE IN AGE COLUMN. |
----------------------------------------------------
----------------------------------------------------
| NOTE: BECAUSE THIS IS A STUDENT RU, THERE IS ONLY|
| ONE RU MEMBER AND ONLY ONE ROW IN THE MATRIX. |
----------------------------------------------------
----------------------------------------------------
| NOTE: FOR ROUND 5, AGE IS CALCULATED AS OF |
| DECEMBER 31, 2006. ALL AGE SKIPS (THROUGHOUT THE |
| QUESTIONNAIRE) WILL BE BASED ON THIS AGE. |
----------------------------------------------------
BOX_04 =======
----------------------------------------------------
| IF STUDENT RU NOT CREATED THIS ROUND AND AGE |
| > 23, CONTINUE WITH BOX_05 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO RE13 |
----------------------------------------------------
BOX_05 =======
----------------------------------------------------
| RU CLASSIFICATION CHANGE: CHANGE RU |
| CLASSIFICATION FROM STUDENT RU TO STANDARD RU |
| SINCE STUDENT IS OUTSIDE OF DESIGNATED STUDENT RU |
| AGE RANGE. |
----------------------------------------------------
----------------------------------------------------
| GO TO RE47 |
----------------------------------------------------
RE13 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
My records show that {as of December 31, 2006} (PERSON)
{(have/has)/had} never been married.
Is that correct?
YES .................................... 1 {RE14}
NO ..................................... 2
REF ................................... -7 {RE14)
DK .................................... -8 {RE14}
---------------------------------------------------
| DISPLAY ‘as of December 31, 2006’ IF ROUND 5. |
| OTHERWISE, USE NULL DISPLAY. |
| DISPLAY (have/has) IF NOT ROUND 5. IF ROUND 5, |
| DISPLAY ‘had’. |
---------------------------------------------------
RE13OV ======
{(Are/Is)/On December 31, 2006, (were/was)} (PERSON) {now}
married, widowed, divorced, or separated?
MARRIED ................................ 1
WIDOWED ................................ 2
DIVORCED ............................... 3
SEPARATED .............................. 4
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘(Are/Is)’ IF NOT ROUND 5. DISPLAY ‘On |
| December 31, 2006, (were/was)’ IF ROUND 5. |
| DISPLAY ‘now’ IF NOT ROUND 5. OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
BOX_06 ======
----------------------------------------------------
| RU CLASSIFICATION CHANGE: CHANGE RU |
| CLASSIFICATION FROM STUDENT RU TO STANDARD RU |
| SINCE STUDENT’S MARITAL STATUS IS NO LONGER |
| ‘NEVER MARRIED’. |
----------------------------------------------------
----------------------------------------------------
| GO TO RE47 |
----------------------------------------------------
RE14 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
{(Are/Is)/(Were/Was)} (PERSON) on full-time active duty with the
Armed Forces of the United States {on December 31, 2006}?
YES .................................... 1
NO ..................................... 2 {RE18A}
REF ................................... -7 {RE18A}
DK .................................... -8 {RE18A}
PRESS F1 FOR DEFINITION OF FULL-TIME ACTIVE DUTY.
----------------------------------------------------
| DISPLAY ‘(Are/Is)’ IF NOT ROUND 5. DISPLAY |
| ‘(Were/Was)’ IF ROUND 5. DISPLAY ‘on December 31, |
| 2006’ IF ROUND 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
RE15 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) enter full-time active duty service
in the Armed Forces?
[Enter Month, Day, Year-4] ............
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF FULL-TIME ACTIVE DUTY.
----------------------------------------------------
| REMOVE PERSON FROM THE RU-MEMBERS-ROSTER AND FLAG |
| PERSON AS REMOVED AT RE15. PERSON IS INELIGIBLE |
| FOR DATA COLLECTION IN THIS ROUND. |
----------------------------------------------------
BOX_07
======
OMITTED.
RE16 ====
At this time, we are only collecting information about persons
who are not on full-time active duty with the Armed Forces of
the United States. Therefore, that is all the information we
need.
PRESS ENTER TO CONTINUE.
RE17 ====
Thank you for your participation in this important study.
PRESS ENTER TO CONTINUE.
RE17A =====
INTERVIEWER: THERE ARE NO ELIGIBLE INDIVIDUALS REMAINING IN
THIS RU. PLEASE REPORT THIS SITUATION TO YOUR SUPERVISOR.
PRESS ENTER TO END THE INTERVIEW.
RE17B =====
INTERVIEWER: DID YOU COMPLETE THIS INTERVIEW IN-PERSON OR BY
TELEPHONE? (YOU MUST HAVE SUPERVISOR APPROVAL PRIOR TO
INTERVIEWING BY TELEPHONE.)
IN-PERSON ............................. 1
TELEPHONE ............................. 2
(Code One)
----------------------------------------------------
| GO TO BOX_27 |
----------------------------------------------------
RE18
====
OMITTED.
RE18A =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
(Have/Has) (PERSON) ever been honorably discharged from active duty
in the U.S. Army, Navy, Air Force, Marine Corps, or Coast Guard?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| GO TO BOX_27 |
----------------------------------------------------
BOX_08
======
OMITTED.
BOX_09 ======
----------------------------------------------------
| IF ON DATE OF PREVIOUS ROUND INTERVIEW AT LEAST |
| ONE KEY RU MEMBER WAS CODED AS INSTITUTIONALIZED |
| IN A HEALTH CARE FACILITY (RE36 = 1 OR 2 -OR- |
| RE19 = 1), CONTINUE WITH LOOP_02 |
----------------------------------------------------
----------------------------------------------------
| IF STANDARD SINGLE-PERSON RU OR NEW SINGLE-PERSON |
| RU (THAT IS, ANY NON-STUDENT SINGLE-PERSON RU), |
| AND RE02 CODED ‘1’ (RESPONDENT IS AN RU MEMBER), |
| GO TO RE47 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO RE20 |
----------------------------------------------------
LOOP_02 =======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| BOX_09A-END_LP02 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_02 COLLECTS INFORMATION |
| TO DETERMINE THE LOCATION AND ELIGIBILITY OF KEY |
| RU MEMBERS WERE INSTITUTIONALIZED AT A HEALTH |
| CARE FACILITY ON THE DATE OF THE PREVIOUS ROUND |
| INTERVIEW. THIS LOOP CYCLES ON RU MEMBERS WHO |
| MEET ALL OF THE FOLLOWING CONDITIONS: |
| - PERSON IS KEY |
| - PERSON WAS INSTITUTIONALIZED AT A HEALTH CARE |
| FACILITY ON THE DATE OF THE PREVIOUS ROUND |
| INTERVIEW (RE36 = 1 OR 2 -OR- RE19 = 1). |
----------------------------------------------------
BOX_09A =======
----------------------------------------------------
| IF PERSON BEING ASKED ABOUT IS AN RU MEMBER |
| RESPONDENT (RE02 = 1), CODE ‘NO’ AT RE19 |
| AUTOMATICALLY BY CAPI, THEN CONTINUE WITH |
| BOX_09B |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH RE19 |
----------------------------------------------------
RE19 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
My records indicate that (PERSON) was institutionalized in a health
care facility at the time of the last interview. {Is/On December 31,
2006, was} (PERSON) still institutionalized in a health care facility?
YES .................................... 1 {END_LP02}
NO ..................................... 2
REF ................................... -7 {END_LP02}
DK .................................... -8 {END_LP02}
PRESS F1 FOR DEFINITION OF INSTITUTIONALIZED IN A HEALTH CARE
FACILITY.
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘On December|
| 31, 2006, was’ IF ROUND 5. |
----------------------------------------------------
BOX_09B =======
----------------------------------------------------
| IF PERSON BEING ASKED ABOUT IS AN RU MEMBER |
| RESPONDENT (RE02 = 1), CODE ‘LIVING WITH THIS |
| FAMILY’ AT RE19A AUTOMATICALLY BY CAPI, THEN |
| CONTINUE WITH RE19B |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH RE19A |
----------------------------------------------------
----------------------------------------------------
| NOTE: SINCE THE NUMBER OF PEOPLE WHO ENTER AND |
| LEAVE AN INSTITUTION IS SO SMALL, WE WILL INSTRUCT|
| THE INTERVIEWER TO MAKE A COMMENT ABOUT |
| INDIVIDUALS WHO ARE NOT ACCOMMODATED BY THIS |
| SERIES (E.G., PERSON IS THE RESPONDENT, BUT LEFT |
| INSTITUTION AFTER 12/31/2006). |
----------------------------------------------------
RE19A =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
IF RESPONDENT VOLUNTEERS THAT PERSON IS DECEASED, CODE ‘3’
WITHOUT ASKING.
{Is/On December 31, 2006, was} (PERSON) {now} living here with
this family, or {does/did} (PERSON) have a usual place of
residence somewhere else?
LIVING WITH THIS FAMILY ................ 1
USUAL PLACE OF RESIDENCE
SOMEWHERE ELSE ....................... 2 {RE19D}
DECEASED ............................... 3 {RE19C}
REF ................................... -7 {RE19D}
DK .................................... -8 {RE19D}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘Is’ AND ‘does’ IF NOT ROUND 5. DISPLAY |
| ‘On December 31, 2006, was’ AND ‘did’ IF ROUND 5. |
| DISPLAY ‘now’ IF NOT ROUND 5. OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘1’ (LIVING WITH THIS FAMILY), FLAG |
| PERSON WITH THE NUMBER OF THE ROUND PERSON |
| REJOINED RU, THEN CONTINUE WITH RE19B |
----------------------------------------------------
RE19B =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) leave the health care facility?
[Enter Month Day Year-4] ..............
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF LEAVE THE HEALTH CARE FACILITY.
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF LEFT |
| INSTITUTION AFTER 12/31/2006, USE CTRL/B TO |
| BACK-UP AND RE-CODE RE19 TO ‘YES’.’ |
----------------------------------------------------
----------------------------------------------------
| NOTE: THE DATE ENTERED HERE DETERMINES THE START |
| OF THE REFERENCE PERIOD FOR THIS PERSON. |
----------------------------------------------------
RE19BOV =======
On what date did (PERSON) return to live with this family?
[Enter Month Day Year-4]
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF JOINED RU |
| AFTER 12/31/2006, USE CTRL/B TO BACK-UP AND |
| RE-CODE RE19A.’ |
----------------------------------------------------
----------------------------------------------------
| GO TO END_LP02 |
----------------------------------------------------
RE19C =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) leave the health care facility?
[Enter Month Day Year-4] ..............
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF LEAVE THE HEALTH CARE FACILITY.
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF LEFT |
| INSTITUTION AFTER 12/31/2006, USE CTRL/B TO |
| BACK-UP AND RE-CODE RE19 TO ‘YES’.’ |
----------------------------------------------------
----------------------------------------------------
| NOTE: THE DATE ENTERED HERE DETERMINES THE START |
| OF THE REFERENCE PERIOD FOR THIS PERSON. |
----------------------------------------------------
RE19COV =======
On what date did (PERSON) die?
[Enter Month Day Year-4] ..............
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF DIED AFTER |
| 12/31/2006, USE CTRL/B TO BACK-UP AND RE-CODE |
| RE19A.’ |
----------------------------------------------------
----------------------------------------------------
| GO TO END_LP02 |
----------------------------------------------------
RE19D =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) leave the health care facility?
[Enter Month Day Year-4] ..............
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF LEAVE THE HEALTH CARE FACILITY.
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF LEFT |
| INSTITUTION AFTER 12/31/2006, USE CTRL/B TO |
| BACK-UP AND RE-CODE RE19 TO ‘YES’.’ |
----------------------------------------------------
----------------------------------------------------
| NOTE: THE DATE ENTERED HERE DETERMINES THE START |
| OF THE REFERENCE PERIOD FOR THIS PERSON. |
----------------------------------------------------
RE19E =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Where {is (PERSON) now/was (PERSON) on December 31, 2006}?
INSTITUTIONALIZED IN A HEALTH CARE
FACILITY ............................. 1
INSTITUTIONALIZED IN A NON-HEALTH CARE
FACILITY ............................. 2 {RE19I}
STUDENT UNDER 24 LIVING AWAY AT SCHOOL
IN GRADES 1-12 ....................... 3 {RE19I}
STUDENT UNDER 24 LIVING AWAY AT
POST-SECONDARY SCHOOL ................ 4
ANOTHER HOUSEHOLD - CURRENTLY NOT FULL-
TIME MILITARY ........................ 5
ANOTHER HOUSEHOLD/MILITARY FACILITY -
CURRENTLY FULL-TIME MILITARY ......... 6 {RE19H}
REF .................................... -7
DK ..................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘is (PERSON) now’ IF NOT ROUND 5. DISPLAY|
| ‘was (PERSON) on December 31, 2006’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| DISALLOW FINAL ENTRY OF CODE ‘1’ |
| (INSTITUTIONALIZED IN HEALTH CARE FACILITY). IF |
| INTERVIEWER ENTERS CODE ‘1’, DISPLAY THE FOLLOWING|
| MESSAGE ‘VERIFY FACILITY TYPE. IF HEALTH CARE |
| FACILITY USE CTRL/J TO CORRECT RE19 TO YES.’ |
----------------------------------------------------
RE19F =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
{Is/Was} (PERSON) living within the U.S. or outside the U.S.
{on December 31, 2006}?
WITHIN U.S. .......................... 1
OUTSIDE U.S. ......................... 2
REF ................................. -7
DK .................................. -8
PRESS F1 FOR DEFINITION OF LIVING WITHIN/OUTSIDE U.S.
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
-----------------------------------------------------
| IF PERSON CODED ‘4’ (STUDENT UNDER 24 LIVING AWAY |
| AT POST-SECONDARY SCHOOL AT RE19E), CONTINUE |
| WITH RE19G |
-----------------------------------------------------
-----------------------------------------------------
| OTHERWISE, GO TO RE19I |
-----------------------------------------------------
RE19G =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
{(Are/Is)/On December 31, 2006, (were/was)} (PERSON) attending ...
grades 1-12, ........................... 1
a college or university, or ............ 2
some other training school after high
school? .............................. 3
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘(Are/Is)’ IF NOT ROUND 5. DISPLAY ‘On |
| ‘December 31, 2006, (were/was)’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| DISALLOW FINAL ENTRY OF CODE ‘1’ (GRADES 1-12). |
| IF INTERVIEWER TRIES TO ENTERS CODE ‘1’, DISPLAY |
| THE FOLLOWING MESSAGE: ‘USE CTRL/J TO CORRECT |
| RE19E TO STUDENT < 24 LIVING AWAY AT SCHOOL |
| GRADES 1-12).’ |
----------------------------------------------------
----------------------------------------------------
| GO TO RE19I |
----------------------------------------------------
RE19H =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
{Is/Was} (PERSON) living in another household or in a military
facility {on December 31, 2006}?
ANOTHER HOUSEHOLD ................... 1
MILITARY FACILITY ................... 2
REF ................................ -7
DK ................................. -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
RE19HOV =======
{Is/Was} (PERSON) living within the U.S. or outside the U.S.
{on December 31, 2006}?
WITHIN U.S. ......................... 1
OUTSIDE U.S. ........................ 2
REF ................................ -7
DK ................................. -8
[Code One]
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
RE19I =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) {enter the non-health care facility/start
living away at school/start living in another household/start living
at a military facility/leave the United States}?
[Enter Month,Day,Year-4] ..............
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| DISPLAY ‘enter the non-health care facility’ IF |
| RE19E CODED ‘2’ (INSTITUTIONALIZED IN NON-HEALTH |
| CARE FACILITY). |
| |
| DISPLAY ‘start living away at school’ IF RE19E |
| CODED ‘3’ (STUDENT UNDER 24 LIVING AWAY AT SCHOOL |
| IN GRADES 1-12) OR IF RE19E CODED ‘4’ (STUDENT |
| UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL) |
| AND RE19F CODED ‘1’ (WITHIN U.S.), ‘-7’ (REF), |
| OR ‘-8’ (DK). |
| |
| DISPLAY ‘start living in another household’ IF |
| RE19E CODED ‘5’ (ANOTHER HOUSEHOLD - CURRENTLY |
| NOT FT MILITARY) AND RE19F CODED ‘1’ (WITHIN |
| U.S.), ‘-7’ (REF), OR ‘-8’ (DK) OR IF RE19E CODED |
| ‘6’ (ANOTHER HOUSEHOLD/MILITARY FACILITY - |
| CURRENTLY FULL-TIME MILITARY AND RE19H CODED ‘1’ |
| (ANOTHER HOUSEHOLD), ‘-7’ (REF), OR ‘-8’ (DK) AND |
| RE19HOV CODED ‘1’ (WITHIN U.S.), ‘-7’ (REF), OR |
| ‘-8’ (DK). |
| |
| DISPLAY ‘start living at a military facility’ IF |
| RE19E CODED ‘6’ (ANOTHER HOUSEHOLD/MILITARY |
| FACILITY - CURRENTLY FULL-TIME MILITARY AND RE19H |
| CODED ‘2’ (MILITARY FACILITY) AND RE19HOV CODED |
| ‘1’ (WITHIN U.S.), ‘-7’ (REF), OR ‘-8’ (DK). |
| |
| DISPLAY ‘leave the U.S.’ IF RE19E CODED ‘4’ |
| (STUDENT UNDER 24 LIVING AWAY AT POST-SECONDARY |
| SCHOOL) AND RE19F CODED ‘2’ (OUTSIDE U.S.) OR IF |
| RE19E CODED ‘5’ (ANOTHER HOUSEHOLD - CURRENTLY |
| NOT FULL-TIME MILITARY) AND RE19F CODED ‘2’ |
| (OUTSIDE U.S.) OR IF RE19E CODED ‘6’ (ANOTHER |
| HOUSEHOLD/MILITARY FACILITY - CURRENTLY FULL-TIME |
| MILITARY) AND RE19HOV CODED ‘2’ (OUTSIDE U.S.). |
----------------------------------------------------
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF DATE IS AFTER|
| 12/31/2006, USE CTRL/B TO BACK-UP AND RE-CODE |
| RE19A.’ |
----------------------------------------------------
END_LP02 ========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_02 AND CONTINUE WITH RE20 |
----------------------------------------------------
RE20 ====
{INTERVIEWER: IF ALL RU MEMBERS DEAD OR INSTITUTIONALIZED,
CODE NO WITHOUT ASKING.}
Before we begin the health interview, {I’d like to ask some
questions about this household./I’d like you think about the
people living here on December 31, 2006, regardless of whether
they are living here now.}
My records indicate that {on {DATE OF PREVIOUS ROUND INTERVIEW},}
the people listed on the bottom of this form (HAND HOUSEHOLD SUMMARY)
{were/are} living together as a family. {Do/Did} (READ NAMES BELOW)
still live together as a family {on December 31, 2006}?
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| DISPLAY INTERVIEWER INSTRUCTION IF RESPONDENT IS |
| A PROXY. OTHERWISE, USE NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘I’d like to ... this household.’ IF NOT |
| ROUND 5. DISPLAY ‘I’d like you ... here now.’ IF |
| ROUND 5. |
| |
| DISPLAY ‘on {DATE OF PREVIOUS ROUND INTERVIEW}’ |
| IF STANDARD RU. OTHERWISE, USE NULL DISPLAY. |
| |
| FOR ‘{DATE OF PREVIOUS ROUND INTERVIEW}’, DISPLAY |
| DATE OF NHIS INTERVIEW IF ROUND 1. OTHERWISE, |
| DISPLAY DATE OF PREVIOUS ROUND MEPS INTERVIEW. |
| |
| DISPLAY ‘were’ IF STANDARD RU. OTHERWISE, |
| DISPLAY ‘are’. |
| |
| DISPLAY ‘Do’ IF NOT ROUND 5. DISPLAY ‘Did’ IF |
| ROUND 5. |
| |
| DISPLAY ‘on December 31, 2006’ IF ROUND 5. |
| OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: |
| IF ROUND 1, THIS ITEM USES THE RU-MEMBERS-ROSTER |
| TO DISPLAY ALL RU MEMBERS WHO MEET THE FOLLOWING |
| CONDITION: |
| - PERSON NOT ADDED TO RU-MEMBERS-ROSTER |
| THIS ROUND |
| |
| IF NOT ROUND 1, THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL RU MEMBERS WHO |
| MEET BOTH OF THE FOLLOWING CONDITIONS: |
| - PERSON NOT ADDED TO RU-MEMBERS-ROSTER THIS |
| ROUND |
| - PERSON NOT INSTITUTIONALIZED ON DATE OF |
| PREVIOUS ROUND INTERVIEW |
----------------------------------------------------
----------------------------------------------------
| IF RE20 CODED ‘1’ (YES), ‘-7’ (REFUSED), OR ‘-8’ |
| (DON’T KNOW), CODE RE21_02 AS ‘1’ (IN RU) FOR ALL |
| RU MEMBERS AUTOMATICALLY BY CAPI, AND GO TO RE42 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (RE20 CODED ‘2’ (NO)), CONTINUE WITH |
| RE21 |
----------------------------------------------------
BOX_10
======
OMITTED.
BOX_11
======
OMITTED.
RE21 ====
Who {is/was} not living here with the family {on December 31, 2006}?
CHANGE RU STATUS AS NECESSARY. 1 = IN RU, 2 = LEFT RU,
3 = INCORRECTLY LISTED IN RU DURING {NHIS/PREVIOUS ROUND}
TO MOVE CURSOR, USE ARROW KEYS. TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER | RE21_02. RU STATUS |
|---|---|
| 1. First Name Middle Name Last Name-35 |
[Enter RU Status] |
| 2. First Name Middle Name Last Name-35 |
[Enter RU Status] |
| 3. First Name Middle Name Last Name-35 |
[Enter RU Status] |
PRESS F1 FOR HH MEMBERSHIP RULES.
----------------------------------------------------
| REFUSED AND DON’T KNOW DISALLOWED. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
-----------------------------------------------------
| DISPLAY ‘NHIS’ IF ROUND 1. OTHERWISE, DISPLAY |
| ‘PREVIOUS ROUND’. |
-----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL RU MEMBERS WHO |
| MEET THE FOLLOWING CONDITION: |
| - PERSON NOT ADDED TO RU-MEMBERS-ROSTER |
| THIS ROUND |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. DISPLAY CODE ‘1’ (IN RU) AT RE21_02 FOR EACH |
| RU MEMBER. |
| 2. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 3. RU MEMBERS COLUMN IS PROTECTED. CURSOR WILL |
| NOT ENTER THIS COLUMN, SO NO CHANGES ARE |
| ALLOWED TO RU MEMBERS AT THIS SCREEN. |
| 4. INTERVIEWERS SHOULD NOT BE ALLOWED TO LEAVE |
| SCREEN IF ALL PERSONS CODED ‘1’ (IN RU) AT |
| RE21_02. IF THE INTERVIEWER ATTEMPTS TO LEAVE|
| SCREEN WITH RE21_02 CODED ‘1’ FOR ALL RU |
| MEMBERS, DISPLAY THE MESSAGE: ‘IF EVERYONE IS |
| STILL IN RU, USE CTRL/B TO CORRECT PREVIOUS |
| SCREEN.’ |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS CODED ‘3’ (INCORRECTLY LISTED IN RU |
| DURING {NHIS/PREVIOUS INTERVIEW}) AT RE21_02, |
| REMOVE PERSON FROM RU-MEMBERS-ROSTER AND IF |
| ROUND 1, FLAG PERSON AS ‘NOT IN RU - INCORRECTLY |
| LISTED IN RU DURING NHIS.’ OTHERWISE FLAG AS |
| ‘NOT IN RU - INCORRECTLY LISTED IN RU DURING |
| PREVIOUS INTERVIEW.’ PERSON IS INELIGIBLE AND |
| OUT-OF-SCOPE. NO FURTHER INFORMATION WILL BE |
| COLLECTED FOR PERSON. |
----------------------------------------------------
----------------------------------------------------
| IF RE21_02 CODED ‘2’ (LEFT RU) FOR AT LEAST ONE |
| RU MEMBER, CONTINUE WITH LOOP_04 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (NO RU MEMBER CODED ‘2’ (LEFT RU) AND |
| AT LEAST ONE RU MEMBER CODED ‘3’ (INCORRECTLY |
| LISTED IN RU DURING NHIS)), GO TO BOX_22 |
----------------------------------------------------
BOX_11A
======
OMITTED.
BOX_12
======
OMITTED.
RE22
====
OMITTED.
RE23
====
OMITTED.
BOX_13
======
OMITTED.
LOOP_02
=======
USED ELSEWHERE.
RE24
====
OMITTED.
RE25
====
OMITTED.
END_LP02
========
USED ELSEWHERE.
BOX_14
======
OMITTED.
RE26
====
OMITTED.
RE27
=====
OMITTED.
BOX_15
======
OMITTED.
RE28
====
OMITTED.
RE29
====
OMITTED.
BOX_16
======
OMITTED.
RE30
====
OMITTED.
RE31
====
OMITTED.
BOX_17
======
OMITTED.
LOOP_03
=======
OMITTED.
RE32
====
OMITTED.
RE33
====
OMITTED.
BOX_18
======
OMITTED.
RE34
====
OMITTED.
END_LP03
========
OMITTED.
BOX_19
======
OMITTED.
LOOP_04 =======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| RE35-END_LP04 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_04 DETERMINES THE LOCATION |
| OF RU MEMBERS WHO HAVE LEFT THE RU AND THE DATE |
| SUCH PERSONS LEFT. THIS INFORMATION IS USED TO |
| DETERMINE WHETHER SUCH PERSONS ARE ELIGIBLE FOR |
| THIS INTERVIEW (THAT IS, REMAIN ON THE RU-MEMBERS-|
| ROSTER) AND TO DEFINE THE REFERENCE PERIOD, IF |
| ANY, FOR SUCH PERSONS. THIS LOOP CYCLES ON RU |
| MEMBERS WHO MEET THE FOLLOWING CONDITION: |
| - PERSON LEFT RU (RE21_02 CODED ‘2’) |
----------------------------------------------------
BOX_20
======
OMITTED.
RE35 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Why {(are/is)/was} (PERSON) no longer living here with this
family {on December 31, 2006}?
DECEASED ................................ 1 {RE41}
INSTITUTIONALIZED ....................... 2
STUDENT UNDER 24 LIVING AWAY AT SCHOOL
IN GRADES 1-12 ....................... 3 {RE41}
STUDENT UNDER 24 LIVING AWAY AT
POST-SECONDARY SCHOOL ................ 4 {RE37}
MOVED - CURRENTLY NOT IN MILITARY ....... 5 {RE37}
MOVED - CURRENTLY ON FULL-TIME ACTIVE
DUTY IN ARMED FORCES ................. 6 {RE38}
REF .................................... -7 {RE41}
DK ..................................... -8 {RE41}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘(are/is)’ IF NOT ROUND 5. DISPLAY ‘was’ |
| IF ROUND 5. DISPLAY ‘on December 31, 2006’ IF |
| ROUND 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
RE36 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
What type of institution {is/was} (PERSON) living in
{now/on December 31, 2006}?
NURSING HOME ........................ 1 {RE40}
OTHER LONG-TERM HEALTH CARE
INSTITUTION (EXCLUDE COMMUNITY
BASED HOSPITAL) ................... 2 {RE40}
OTHER NON-HEALTH CARE INSTITUTION ... 3 {RE41}
REF ................................ -7 {RE40}
DK ................................. -8 {RE40}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘now’ IF NOT ROUND 5. DISPLAY |
| ‘on December 31, 2006’ IF ROUND 5. |
----------------------------------------------------
RE37 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
{Is/Was} (PERSON) living within the U.S. or outside the U.S.
{on December 31, 2006}?
WITHIN U.S. .......................... 1 {RE41}
OUTSIDE U.S. ......................... 2 {RE41}
REF ................................. -7 {RE41}
DK .................................. -8 {RE41}
[Code One]
PRESS F1 FOR DEFINITION OF LIVING WITHIN/OUTSIDE U.S.
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF RE35 CODED ‘4’ (STUDENT AWAY AT POST-SECONDARY |
| SCHOOL) |
| AND |
| RE37 CODED ‘1’ (WITHIN U.S.), ‘-7’ (REFUSED), OR |
| ‘-8’ (DON’T KNOW), |
| FLAG PERSON AS A ‘NEW STUDENT’. |
----------------------------------------------------
----------------------------------------------------
| IF RE35 CODED ‘5’ (MOVED - CURRENTLY NOT IN |
| MILITARY) |
| AND |
| RE37 CODED ‘1’ (WITHIN U.S.), ‘-7’ (REFUSED), OR |
| ‘-8’ (DON’T KNOW), |
| FLAG PERSON AS A ‘NON-MILITARY MOVER IN U.S.’ |
----------------------------------------------------
RE38 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
{Is/Was} (PERSON) living in another household or in a military
facility {on December 31, 2006}?
ANOTHER HOUSEHOLD ................... 1
MILITARY FACILITY ................... 2 {RE41}
REF ................................ -7
DK ................................. -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
RE38OV ======
{Is/Was} (PERSON) living within the U.S. or outside the U.S.
{on December 31, 2006}?
WITHIN U.S. ......................... 1 {RE41}
OUTSIDE U.S. ........................ 2 {RE41}
REF ................................ -7 {RE41}
DK ................................. -8 {RE41}
[Code One]
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘1’ (WITHIN U.S.), ‘-7’ (REFUSED), OR |
| ‘-8’ (DON’T KNOW), FLAG PERSON AS ‘FULL-TIME |
| MILITARY IN U.S. AND NOT ON MILITARY FACILITY’ |
----------------------------------------------------
BOX_21
======
OMITTED.
RE39
====
OMITTED.
RE40 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Please give me the name and address of the nursing home or long
term care facility where (PERSON) {is/was} living {now/on
December 31, 2006}.
PLACE NAME (RE40_01): [_____________]
STREET ADDRESS1 (RE40_02): [_____________]
STREET ADDRESS2 (RE40_03): [_____________]
CITY (RE40_04): [_____________]
STATE (RE40_05): [_____________]
ZIP CODE (RE40_06): [_____________]
PRESS F1 FOR LIST OF STATE ABBREVIATIONS.
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘now’ IF NOT ROUND 5. DISPLAY |
| ‘on December 31, 2006’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| CODES ‘-7’ (REFUSED) AND ‘-8’ (DON’T KNOW) ARE |
| ALLOWED ON EACH FORM ITEM. |
----------------------------------------------------
RE41 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) {die/enter the institution/start
living away at school/move/leave the United States/leave the
household}?
[Enter Month,Day,Year-4] ..............
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| DISPLAY ‘die’ IF RE35 CODED ‘1’ (DECEASED). |
| |
| DISPLAY ‘enter the institution’ IF RE35 CODED ‘2’ |
| (INSTITUTIONALIZED). |
| |
| DISPLAY ‘start living away at school’ IF RE35 |
| CODED ‘3’ (STUDENT UNDER 24 LIVING AWAY AT SCHOOL |
| IN GRADES 1-12) OR ‘4’ (STUDENT UNDER 24 LIVING |
| AWAY AT POST-SECONDARY SCHOOL). |
| |
| DISPLAY ‘move’ IF RE35 CODED ‘5’ (MOVED - |
| CURRENTLY NOT IN MILITARY) AND RE37 CODED ‘1’ |
| (WITHIN U.S.), ‘-7’ (REF), OR ‘-8’ (DK) OR IF |
| RE35 CODED ‘6’ (MOVED - CURRENTLY FULL-TIME ACTIVE|
| DUTY IN THE ARMED FORCES. |
| |
| DISPLAY ‘leave the U.S.’ IF RE35 CODED 5’ |
| (MOVED - CURRENTLY NOT IN MILITARY) AND RE37 |
| CODED ‘2’ (OUTSIDE U.S.). |
| |
| DISPLAY ‘leave the household’ IF RE35 CODED ‘-7’ |
| (REF) OR ‘-8’ (DK). |
----------------------------------------------------
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF LEFT RU AFTER|
| 12/31/2006, USE CTRL/J TO BACK-UP AND RE-CODE |
| RE21.’ |
----------------------------------------------------
----------------------------------------------------
| IF DATE IS PRIOR TO 01/01/2005 AND PERSON MEETS |
| ONE OF THE FOLLOWING SETS OF CONDITIONS: |
| - RE35 CODED ‘1’ (DECEASED), ‘2’ |
| (INSTITUTIONALIZED), ‘-7’ (REFUSED), OR ‘-8’ |
| (DON’T KNOW) |
| OR |
| - (RE35 CODED ‘4’ (STUDENT UNDER 24 LIVING AWAY |
| AT POST-SECONDARY SCHOOL) OR ‘5’ (MOVED - |
| CURRENTLY NOT IN MILITARY)) |
| AND |
| RE37 CODED ‘2’ (OUTSIDE U.S.) |
| OR |
| - RE35 CODED ‘6’ (MOVED - CURRENTLY ON FULL-TIME |
| ACTIVE DUTY IN ARMED FORCES) |
| AND |
| RE38 CODED ‘2’ (MILITARY FACILITY) |
| OR |
| - RE35 CODED ‘6’ (MOVED - CURRENTLY ON FULL-TIME |
| ACTIVE DUTY IN ARMED FORCES) |
| AND |
| (RE38 CODED ‘1’ (ANOTHER HOUSEHOLD), ‘-7’ |
| (REFUSED), OR ‘-8’ (DON’T KNOW)) |
| AND |
| RE38OV CODED ‘2’ (OUTSIDE U.S.) |
| |
| REMOVE PERSON FROM THE RU-MEMBERS-ROSTER AND |
| FLAG PERSON AS REMOVED AT RE41. PERSON IS OUT 0F |
| SCOPE AND INELIGIBLE. INFORMATION WILL NOT BE |
| COLLECTED FOR THIS PERSON. |
----------------------------------------------------
-----------------------------------------------------
| IF PERSON IS FLAGGED DURING THIS INTERVIEW AS ONE |
| OF THE FOLLOWING: |
| - ‘NEW STUDENT’ (THAT IS, RE35 CODED ‘4’ (STUDENT |
| UNDER 24 LIVING AWAY AT POST-SECONDARY SCHOOL) |
| AND (RE37 CODED ‘1’ (WITHIN U.S.), ‘-7’ |
| (REFUSED), OR ‘-8’ (DON’T KNOW))) |
| OR |
| - ‘NON-MILITARY MOVER IN U.S.’ (THAT IS, RE35 |
| CODED ‘5’ (MOVED - CURRENTLY NOT IN MILITARY) |
| AND (RE37 CODED ‘1’ (WITHIN U.S.), ‘-7’ |
| (REFUSED), OR ‘-8’ (DON’T KNOW))) |
| OR |
| - ‘FULL-TIME MILITARY IN U.S. AND NOT ON MILITARY |
| FACILITY’ (THAT IS, RE35 CODED ‘6’ (MOVED - |
| CURRENTLY ON FULL-TIME ACTIVE DUTY IN ARMED |
| FORCES) AND (RE38 CODED ‘2’ (ANOTHER HOUSEHOLD),|
| ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW)) AND |
| (RE38OV CODED ‘1’ (WITHIN U.S.), ‘-7’ (REFUSED),|
| OR ‘-8’(DON’T KNOW))), |
| |
| REMOVE PERSON FROM RU-MEMBERS-ROSTER AND FLAG |
| PERSON AS REMOVED AT RE41. THE RE SECTION WILL |
| COLLECT LOCATING AND OTHER PERTINENT INFORMATION |
| FOR PERSON BUT PERSON WILL NOT BE INCLUDED IN THIS |
| INTERVIEW AFTER THE RE SECTION. INFORMATION FOR |
| PERSON MAY BE COLLECTED AS PART OF ANOTHER RU. |
-----------------------------------------------------
----------------------------------------------------
| IF DATE IS = OR AFTER 01/01/2005 AND PERSON MEETS |
| ONE OF THE FOLLOWING SETS OF CONDITIONS: |
| - RE35 CODED ‘1’ (DECEASED) |
| OR |
| - RE35 CODED ‘2’ (INSTITUTIONALIZED) |
| OR |
| - (RE35 CODED ‘4’ (STUDENT UNDER 24 LIVING AWAY |
| AT POST-SECONDARY SCHOOL) OR ‘5’ (MOVED - |
| CURRENTLY NOT IN MILITARY)) |
| AND |
| RE37 CODED ‘2’ (OUTSIDE U.S.) |
| OR |
| - RE35 CODED ‘6’ (MOVED - CURRENTLY ON FULL-TIME |
| ACTIVE DUTY IN ARMED FORCES) |
| AND |
| RE38 CODED ‘2’ (MILITARY FACILITY) |
| OR |
| - RE35 CODED ‘6’ (MOVED - CURRENTLY ON FULL-TIME |
| ACTIVE DUTY IN ARMED FORCES) |
| AND |
| (RE38 CODED ‘1’ (ANOTHER HOUSEHOLD), ‘-7’ |
| (REFUSED), OR ‘-8’ (DON’T KNOW)) |
| AND |
| RE38OV CODED ‘2’ (OUTSIDE U.S.) |
| OR |
| - RE35 CODED ‘-7’ (REFUSED) OR ‘-8’ (DON’T KNOW) |
| |
| FLAG PERSON AS ‘REMOVE FROM RU BEFORE NEXT ROUND’.|
| INFORMATION MAY BE COLLECTED FOR PERSON DURING |
| THIS ROUND UP UNTIL THE DATE PERSON LEFT THE RU. |
| (PERSON’S REFERENCE PERIOD WILL END ON DATE PERSON|
| LEFT THE RU.) CAPI DETERMINES WHETHER OR NOT TO |
| INCLUDE PERSON IN THE INTERVIEW BASED ON PERSON’S |
| ELIGIBILITY WHICH IS ASSESSED BEFORE RE85. |
----------------------------------------------------
END_LP04 ========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| WHO MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_04 AND CONTINUE WITH BOX_22 |
----------------------------------------------------
BOX_22 ======
----------------------------------------------------
| IF ALL RU MEMBERS LEFT THE RU AND ARE NOT ELIGIBLE|
| FOR THE STUDY AS PART OF ANY RU (THEREFORE, |
| LOCATING INFORMATION IS NOT REQUIRED); THAT IS: |
| - IF THE RU-MEMBERS-ROSTER IS EMPTY |
| AND |
| - NO ONE IS FLAGGED AS A ‘NEW STUDENT’ THIS |
| INTERVIEW |
| AND |
| - NO ONE IS FLAGGED AS A ‘NON-MILITARY MOVER IN |
| U.S.’ THIS INTERVIEW |
| AND |
| - NO ONE IS FLAGGED AS ‘FULL-TIME MILITARY IN |
| U.S. AND NOT ON MILITARY FACILITY’ THIS |
| INTERVIEW, |
| CONTINUE WITH RE42A |
----------------------------------------------------
----------------------------------------------------
| IF AT LEAST ONE RU MEMBER IS CURRENTLY LIVING IN |
| THE RU (THAT IS, IF AT LEAST ONE PERSON ON THE |
| CURRENT RU-MEMBERS-ROSTER MEETS ALL OF THE |
| FOLLOWING CONDITIONS: |
| - NOT DECEASED (RE35 IS NOT CODED ‘1’) |
| AND |
| - NOT INSTITUTIONALIZED (RE35 IS NOT CODED ‘2’) |
| AND |
| - NOT A STUDENT OR NON-MILITARY MOVER LIVING |
| OUTSIDE THE U.S. (RE37 IS NOT CODED ‘2’) |
| AND |
| - NOT ON FULL-TIME ACTIVE DUTY AND LIVING AT A |
| MILITARY FACILITY (RE38 IS NOT CODED ‘2’) |
| AND |
| - NOT ON FULL-TIME ACTIVE DUTY AND LIVING OUTSIDE|
| THE U.S. (RE38OV IS NOT CODED ‘2’) |
| AND |
| - NOT LEFT RU FOR UNKNOWN REASON (RE35 IS NOT |
| CODED ‘-7’ OR ‘-8’), |
| GO TO RE42 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE IF ROUND 1 (THAT IS, EITHER THE |
| RU-MEMBERS-ROSTER INCLUDES ONLY PERSONS WHO HAVE |
| LEFT THE RU SINCE START DATE OR (THE RU-MEMBERS- |
| ROSTER IS EMPTY AND AT LEAST ONE REMOVED PERSON |
| IS FLAGGED AS ‘NEW STUDENT’ OR ‘NON-MILITARY |
| MOVER IN U.S.’ OR ‘FULL-TIME MILITARY IN U.S. |
| AND NOT ON MILITARY FACILITY’)), GO TO BOX_24A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE IF NOT ROUND 1 (THAT IS, EITHER THE |
| RU-MEMBERS-ROSTER INCLUDES ONLY PERSONS WHO HAVE |
| LEFT THE RU SINCE START DATE OR (THE RU-MEMBERS- |
| ROSTER IS EMPTY AND AT LEAST ONE REMOVED PERSON |
| IN FLAGGED AS ‘NEW STUDENT’ OR ‘NON-MILITARY |
| MOVER IN U.S.’ OR ‘FULL-TIME MILITARY IN U.S. |
| AND NOT ON MILITARY FACILITY’)), GO TO RE57A |
----------------------------------------------------
RE42A =====
INTERVIEWER: THERE ARE NO ELIGIBLE INDIVIDUALS REMAINING IN THIS
RU. PLEASE REPORT THIS SITUATION TO YOUR SUPERVISOR.
PRESS ENTER TO END THE INTERVIEW.
RE42B =====
INTERVIEWER: DID YOU COMPLETE THIS INTERVIEW IN-PERSON OR BY
TELEPHONE? (YOU MUST HAVE SUPERVISOR APPROVAL PRIOR TO
INTERVIEWING BY TELEPHONE.)
IN-PERSON ............................. 1
TELEPHONE ............................. 2
[Code One]
----------------------------------------------------
| GO TO BOX_27 |
----------------------------------------------------
RE42 ====
{At the time this household participated in the National Health
Interview Survey on {MONTH, DAY, YEAR OF NHIS INTERVIEW}/At the
time of the last interview}, {PREVIOUS ROUND REFERENCE PERSON} was
listed as the person who owns or rents this home. {Is/Was} that
still true {as of December 31, 2006}?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF OWNS/RENTS HOME.
----------------------------------------------------
| DISPLAY ‘At the time this household participated |
| in the National Health Survey in {MONTH, DAY, |
| YEAR OF NHIS INTERVIEW}’ IF ROUND 1. OTHERWISE, |
| DISPLAY ‘At the time of the last interview’. |
| |
| FOR ‘{PREVIOUS ROUND REFERENCE PERSON}’, DISPLAY |
| NHIS REFERENCE PERSON IF ROUND 1. OTHERWISE, |
| DISPLAY PREVIOUS ROUND MEPS REFERENCE PERSON. |
| |
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. |
| |
| DISPLAY ‘as of December 31, 2006’ IF ROUND 5. |
| OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘1’ (YES) AND PREVIOUS ROUND REFERENCE |
| PERSON MEETS ANY OF THE FOLLOWING CONDITIONS: |
| - DELETED FROM THE RU-MEMBERS-ROSTER THIS ROUND |
| OR |
| - DECEASED OR INSTITUTIONALIZED (RE35 CODED ‘1’ |
| OR ‘2’) |
| OR |
| - STUDENT OR NON-MILITARY LIVING OUTSIDE THE U.S.|
| (RE37 CODED ‘2’) |
| OR |
| - CURRENTLY ON FULL-TIME ACTIVE DUTY AND LIVING |
| AT A MILITARY FACILITY (RE38 CODED ‘2’) |
| OR |
| - CURRENTLY ON FULL-TIME ACTIVE DUTY AND LIVING |
| OUTSIDE U.S. (RE38OV CODED ‘2’) |
| OR |
| - LEFT RU FOR UNKNOWN REASON (RE35 CODED ‘-7’ OR |
| ‘-8’), |
| GO TO RE44 |
----------------------------------------------------
---------------------------------------------------
| IF CODED ‘2’ (NO), CONTINUE WITH RE43 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_22AA |
----------------------------------------------------
RE43 ====
Of the people in this family who {live/lived} here {now/on
December 31, 2006}, who {owns/owned} or {rents/rented} this home?
IF NAME GIVEN NOT LISTED, PROBE TO DETERMINE IF NEW RU MEMBER
(I.E., RELATED) OR PERSON NOT IN RU.
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
[Code One]
PRESS F1 FOR DEFINITION OF OWNS/RENTS HOME.
----------------------------------------------------
| DISPLAY ‘live’ AND ‘now’ AND ‘owns’ AND ‘rents’ |
| IF NOT ROUND 5. DISPLAY ‘lived’ AND ‘on December |
| 31, 2006’ AND ‘owned’ AND ‘rented’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL RU MEMBERS WHO |
| MEET BOTH OF THE FOLLOWING CONDITIONS: |
| - PERSON = > 16 YEARS OLD OR AGE CATEGORY 4-9 |
| AND |
| - STILL LIVING IN THE RU AT THE DATE OF THE |
| CURRENT INTERVIEW (THAT IS, NOT CODED ANY OF |
| THE FOLLOWING: |
| - DECEASED OR INSTITUTIONALIZED (RE35 CODED |
| ‘1’ OR ‘2’) |
| OR |
| - STUDENT OR NON-MILITARY LIVING OUTSIDE THE |
| U.S. (RE37 CODED ‘2’) |
| OR |
| - CURRENTLY ON FULL-TIME ACTIVE DUTY AND |
| LIVING AT A MILITARY FACILITY (RE38 CODED |
| ‘2’) |
| OR |
| - CURRENTLY ON FULL-TIME ACTIVE DUTY AND |
| LIVING OUTSIDE U.S. (RE38OV CODED ‘2’) |
| OR |
| - LEFT RU FOR UNKNOWN REASON (RE35 CODED ‘-7’ |
| OR ‘-8’) |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘PERSON NOT IN RU’ AS THE LAST ENTRY |
| ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| IF ‘PERSON NOT IN RU’ IS SELECTED, CONTINUE WITH |
| RE44 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (CURRENT RU MEMBER SELECTED), |
| GO TO BOX_22AA |
----------------------------------------------------
RE44 ====
Of all the people in this family who {live/lived} here {now/on
December 31, 2006}, who {is/was} considered the head of household?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
| ROSTER. DU MEMBERS |
RE44_02. RUID |
RE44_03. GENDER |
RE44_04. AGE | RE44_05. INTERVIEW COMPLETED THIS ROUND |
|---|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
[Code One]
PRESS F1 FOR DEFINITION OF HEAD OF HOUSEHOLD.
----------------------------------------------------
| DISPLAY ‘live’ AND ‘now’ AND ‘is’ IF NOT ROUND 5. |
| DISPLAY ‘lived’ AND ‘on December 31, 2006’ AND |
| ‘was’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS THE |
| DU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘NEW RU MEMBER NOT YET LISTED’ AS LAST |
| ENTRY ON ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. THE MATRIX COLUMNS ARE DISPLAY-ONLY. THAT IS,|
| NO CHANGES ARE ALLOWED TO THE INFORMATION. |
| 3. THE ‘INTERVIEW COMPLETED THIS ROUND’ COLUMN |
| DISPLAYS AN ‘X’ FOR EACH PERSON WHO HAS |
| ALREADY BEEN INTERVIEWED THIS ROUND IN THE |
| STANDARD RU OR ANOTHER RU IN THIS DU. |
| 4. IF PERSON WITH AN ‘X’ IN ‘INTERVIEW COMPLETED |
| THIS ROUND’ COLUMN IS SELECTED, DISPLAY |
| MESSAGE: ‘PERSON CANNOT BE SELECTED. HAS |
| ALREADY BEEN INTERVIEWED WITH ANOTHER RU.’ |
| 5. IF AN RU MEMBER UNDER 16 SELECTED AS HEAD OF |
| HOUSEHOLD, DISPLAY MESSAGE ‘RESPONDENT < 16. |
| S/HE MUST BE APPROVED BY SUPERVISOR. RESELECT |
| TO VERIFY.’ |
| 6. IF INTERVIEWER SELECTS A PERSON FROM ANOTHER |
| RU, DISPLAY THE MESSAGE: ‘PERSON IS MEMBER |
| OF ANOTHER RU. VERIFY THAT PERSON JOINED OR |
| CORRECT SELECTION.’ |
| 7. IF INTERVIEWER SELECTS PERSON WHO HAS LEFT |
| THE RU, DISPLAY THE MESSAGE: ‘SELECTION IS |
| INAPPROPRIATE. MAKE ANOTHER SELECTION.’ |
----------------------------------------------------
----------------------------------------------------
| IF PERSON FROM ANOTHER RU SELECTED AND VERIFIED |
| AS THE HEAD OF HOUSEHOLD, ADD PERSON TO |
| RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| IF ‘NEW RU MEMBER NOT YET LISTED’ SELECTED, |
| CONTINUE WITH RE45 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (CURRENT DU MEMBER SELECTED), |
| GO TO BOX_22AA |
----------------------------------------------------
RE45 ====
ENTER NAME OF NEW RU MEMBER WHO OWNS OR RENTS HOME OR IS HEAD
OF HOUSEHOLD.
VERIFY SPELLING.
IF NO MIDDLE NAME OR INITIAL, ENTER ‘NMN’.
[Enter First Name,[Middle Name],Last Name-65]
----------------------------------------------------
| REFUSED AND DON’T KNOW DISALLOWED AT ALL FIELDS. |
----------------------------------------------------
----------------------------------------------------
| ADD PERSON TO RU-MEMBERS-ROSTER AND FLAG PERSON |
| AS ‘NEW RU MEMBER ADDED AT RE45’. |
----------------------------------------------------
BOX_22AA ========
----------------------------------------------------
| IF AT LEAST ONE PERSON ON THE RU-MEMBERS-ROSTER |
| IS AN ORIGINAL RU MEMBER WHO IS STILL LIVING IN |
| THE RU AT THE TIME OF THE CURRENT INTERVIEW; THAT |
| IS, IF AT LEAST ONE RU MEMBER MEETS THE FOLLOWING |
| CONDITIONS: |
| - NOT ADDED TO THE RU THIS ROUND |
| AND |
| - NOT CODED ANY OF THE FOLLOWING: |
| - DECEASED OR INSTITUTIONALIZED (RE35 CODED |
| ‘1’ OR ‘2’) |
| OR |
| - STUDENT OR NON-MILITARY LIVING OUTSIDE THE |
| U.S. (RE37 CODED ‘2’) |
| OR |
| - CURRENTLY ON FULL-TIME ACTIVE DUTY AND |
| LIVING AT A MILITARY FACILITY (RE38 CODED |
| ‘2’) |
| OR |
| - CURRENTLY ON FULL-TIME ACTIVE DUTY AND |
| LIVING OUTSIDE U.S. (RE38OV CODED ‘2’) |
| OR |
| - LEFT RU FOR UNKNOWN REASON (RE35 CODED ‘-7’ |
| OR ‘-8’), |
| CONTINUE WITH RE46 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_24A |
----------------------------------------------------
RE46 ====
{REFERENCE PERSON’S FIRST MIDDLE AND LAST NAME}
{Please think about the household composition as of December 31,
2006 for the next few questions.} {Is/Was} there anyone else
{other than you} related to (REFERENCE PERSON) who {is/was}
living here {now/on December 31, 2006} as part of this family and
who is not listed on the bottom of this form? (HAND HOUSEHOLD SUMMARY)
That is, other than (READ NAMES BELOW)? Do not include anyone
who was staying here temporarily who usually lived somewhere else.
By related we mean by blood, marriage, living together as married,
adoption or foster care relationship.
TO SCROLL, USE ARROW KEYS.
TO LEAVE BOX AND GO TO ENTRY FIELD, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
YES .................................... 1 {RE48}
NO ..................................... 2 {RE50}
REF ................................... -7 {RE50}
DK .................................... -8 {RE50}
PRESS F1 FOR DEFINITION OF LIVING TOGETHER AS MARRIED/PARTNER
RELATIONSHIPS.
----------------------------------------------------
| DISPLAY ‘Please .. questions.’ IF ROUND 5. |
| OTHERWISE, USE A NULL DISPLAY. |
| |
| DISPLAY ‘Is’ AND ‘is’ AND ‘now’ IF NOT ROUND 5. |
| DISPLAY ‘Was’ AND ‘was’ AND ‘on December 31, 2006’|
| IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL RU MEMBERS WHO |
| MEET THE FOLLOWING CONDITION: |
| - PERSON NOT ADDED TO RU-MEMBERS-ROSTER |
| THIS ROUND |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘other than you’ IF RESPONDENT FLAGGED AS |
| ‘NEW RU MEMBER ADDED AT RE08’. OTHERWISE, USE |
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND PG01 WAS CODED ‘1’ (YES) IN |
| THE PREVIOUS ROUND, DISPLAY THE FOLLOWING MESSAGE:|
| ‘SOMEONE IN RU WAS PREGNANT DURING THE PREVIOUS |
| ROUND. IF BABY WAS BORN AND IS LIVING IN THE RU, |
| PLEASE BE SURE TO ADD HIM/HER.’ |
----------------------------------------------------
RE47 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
We would like to include the other members of (PERSON)’s household
who are related to (PERSON) in this interview.
{Is/Was} there anyone else related to (PERSON) living here
{now/on December 31, 2006}? Do not include anyone staying
here temporarily who usually lives somewhere else. By related
we mean by blood, marriage, living together as married,
adoption, or foster care relationship.
YES .................................... 1
NO ..................................... 2 {RE50}
REF ................................... -7 {RE50}
DK .................................... -8 {RE50}
PRESS F1 FOR DEFINITION OF LIVING TOGETHER AS MARRIED.
----------------------------------------------------
| DISPLAY ‘Is’ IF NOT ROUND 5. DISPLAY ‘Was’ IF |
| ROUND 5. DISPLAY ‘now’ IF NOT ROUND 5. DISPLAY |
| ‘on December 31, 2006’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND PG01 WAS CODED ‘1’ (YES) IN |
| THE PREVIOUS ROUND, DISPLAY THE FOLLOWING MESSAGE:|
| ‘SOMEONE IN RU WAS PREGNANT DURING THE PREVIOUS |
| ROUND. IF BABY WAS BORN AND IS LIVING IN THE RU, |
| PLEASE BE SURE TO ADD HIM/HER.’ |
----------------------------------------------------
RE48 ====
{INTERVIEWER: IF ALL PERSONS WHO HAVE JOINED THE RU ARE ALREADY
SELECTED, USE CTRL/B TO CHANGE PREVIOUS SCREEN TO ‘NO’.}
Who else {is/was} related and living here {now/on December 31, 2006}?
PROBE: Anyone else?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
| ROSTER. DU MEMBERS |
RE48_02. RUID |
RE48_03. GENDER |
RE48_04. AGE | RE48_05. INTERVIEW COMPLETED THIS ROUND |
|---|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘now’ IF NOT ROUND 5. DISPLAY |
| ‘on December 31, 2006’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE DU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘INTERVIEWER: IF ALL PERSONS WHO HAVE |
| JOINED THE RU ARE ALREADY SELECTED, USE CTRL/B TO |
| CHANGE PREVIOUS SCREEN TO ‘NO’.’ IF NOT ROUND 1. |
| OTHERWISE, USE NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘ANY NEW RU MEMBERS NOT LISTED’ AS THE |
| LAST ENTRY ON ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. ALL COLUMNS ARE PROTECTED. CURSOR WILL NOT |
| ENTER THESE COLUMNS, SO NO CHANGES ARE |
| ALLOWED. |
| 3. IF NEW RU, AN ‘X’ WILL BE DISPLAYED IN THE |
| INTERVIEW COMPLETED THIS ROUND COLUMN FOR EACH|
| PERSON WHO HAS ALREADY BEEN INTERVIEWED IN |
| ANOTHER RU IN THE DU |
| 4. IF PERSON WITH AN ‘X’ IN ‘INTERVIEW COMPLETED |
| THIS ROUND’ COLUMN IS SELECTED, DISPLAY |
| MESSAGE: ‘PERSON CANNOT BE SELECTED. HAS |
| BEEN INCLUDED IN INTERVIEW WITH ANOTHER RU.’ |
| 5. IF INTERVIEWER SELECTS A PERSON FROM ANOTHER |
| RU FOR WHOM AN INTERVIEW HAS NOT BEEN |
| COMPLETED, DISPLAY THE MESSAGE: ‘PERSON IS |
| MEMBER OF ANOTHER RU. VERIFY THAT PERSON |
| JOINED OR CORRECT SELECTION.’ |
| 6. IF INTERVIEWER SELECTS A PERSON WHO HAS LEFT |
| THIS RU OR A CURRENT RU MEMBER, DISPLAY THE |
| MESSAGE: ‘SELECTION IS INAPPROPRIATE. MAKE |
| ANOTHER SELECTION.’ |
| 7. IF INTERVIEWER PRESSES ESC KEY TO LEAVE SCREEN|
| WITHOUT MAKING A SELECTION, DISPLAY THE |
| MESSAGE: ‘IF NO NEW PERSON HAS JOINED RU, USE|
| CTRL/B TO CORRECT PREVIOUS SCREEN(S).’ |
----------------------------------------------------
----------------------------------------------------
| IF A PERSON FROM ANOTHER RU VERIFIED AND |
| SELECTED AS THE RESPONDENT, ADD THAT PERSON TO |
| THE RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| IF ‘ANY NEW RU MEMBERS NOT LISTED’ IS SELECTED, |
| CONTINUE WITH RE49 |
----------------------------------------------------
-----------------------------------------------------
| OTHERWISE, GO TO RE50 |
----------------------------------------------------
RE49 ====
Please give me the name of each new related person who {is/was}
living with this household {on December 31, 2006}.
PROBE: Anyone else?
ENTER NAMES. VERIFY SPELLING. IF NO MIDDLE NAME OR INITIAL,
ENTER ‘NMN’.
TO MOVE CURSOR, USE ARROW KEYS.
TO ADD, PRESS CTRL/A. TO DELETE, PRESS CTRL/D.
TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER | RE49_02. IN RU NOW? |
|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display Selection] |
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. ALLOW INTERVIEWERS TO ADD A PERSON(S) TO THE |
| ROSTER. |
| 3. ALLOW INTERVIEWERS TO DELETE ONLY THOSE |
| PERSONS WHO WERE ADDED AT THIS SCREEN. |
| 4. ALLOW INTERVIEWERS TO EDIT ONLY THOSE PERSONS |
| WHO WERE ADDED AT THIS SCREEN. |
| 5. WHEN SCREEN IS DISPLAYED, DISPLAY ‘YES’ IN |
| RE49_02 FOR EACH PERSON CODED ‘1’ (IN RU) AT |
| RE21_02 OR ADDED TO RU DURING THIS INTERVIEW. |
| 6. DO NOT ALLOW INTERVIEWERS TO CHANGE CODES IN |
| RE49_02. |
| 7. AUTOMATICALLY DISPLAY ‘YES’ AT RE49_02 FOR |
| PERSON ADDED AT THIS SCREEN. |
----------------------------------------------------
----------------------------------------------------
| IF PERSON IS ADDED AT RE49, ADD PERSON TO RU- |
| MEMBERS-ROSTER AND FLAG PERSON AS ADDED AT RE49 |
----------------------------------------------------
RE50 ====
Have we missed anyone? For example, babies born or adopted
{since/between} {DATE OF PREVIOUS ROUND INTERVIEW} {and December
31, 2006}, anyone related who usually {lives/lived} here but
{is/was} traveling, away on business, or in the hospital?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| DISPLAY ‘since’ AND ‘lives’ AND ‘is’ IF NOT ROUND |
| 5. DISPLAY ‘between’ AND ‘lived’ AND ‘was’ IF |
| ROUND 5. |
| |
| FOR ‘{DATE OF PREVIOUS ROUND INTERVIEW}’ DISPLAY |
| DATE OF NHIS INTERVIEW IF ROUND 1. OTHERWISE, |
| DISPLAY DATE OF PREVIOUS ROUND MEPS INTERVIEW. |
| |
| DISPLAY ‘and December 31, 2006’ IF ROUND 5. |
| OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND RE50 CODED ‘2’ (NO), ‘-7’ (REF), |
| OR ‘-8’ (DK), GO TO RE53 |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND RE50 CODED ‘2’ (NO), ‘-7’ |
| (REF), OR ‘-8’ (DK), GO TO BOX_24A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (RE50 CODED ‘1’ (YES)), CONTINUE WITH |
| RE51 |
----------------------------------------------------
RE51 ====
Who else {is/was} related and living here {now/on December 31, 2006}?
PROBE: Anyone else?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
| ROSTER. DU MEMBERS |
RE51_02. RUID |
RE51_03. GENDER |
RE51_04. AGE | RE51_05. INTERVIEW COMPLETED THIS ROUND |
|---|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘now’ IF NOT ROUND 5. DISPLAY |
| ‘on December 31, 2006’ IF ROUND 5. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE DU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘ANY NEW RU MEMBERS NOT LISTED’ AS THE |
| LAST ENTRY ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. ALL COLUMNS ARE PROTECTED. CURSOR WILL NOT |
| ENTER THESE COLUMNS, SO NO CHANGES ARE ALLOWED|
| IN ANY OF THESE COLUMNS. |
| 3. IF NEW RU, AN ‘X’ WILL BE DISPLAYED IN THE |
| INTERVIEW COMPLETED THIS ROUND COLUMN FOR EACH|
| PERSON WHO HAS ALREADY BEEN INTERVIEWED IN |
| ANOTHER RU IN THE DU. |
| 4. IF PERSON WITH AN ‘X’ IN INTERVIEW COMPLETED |
| THIS ROUND COLUMN IS SELECTED, DISPLAY |
| MESSAGE: ‘PERSON CANNOT BE SELECTED. HAS |
| BEEN INCLUDED IN INTERVIEW WITH ANOTHER RU.’ |
| 5. IF INTERVIEWER SELECTS A PERSON WHO HAS LEFT |
| THIS RU OR A CURRENT RU MEMBER, DISPLAY THE |
| MESSAGE: ‘SELECTION IS INAPPROPRIATE. MAKE |
| ANOTHER SELECTION.’ |
----------------------------------------------------
----------------------------------------------------
| ADD EACH PERSON SUCCESSFULLY SELECTED TO THE |
| RU-MEMBERS-ROSTER AND FLAG PERSON AS ADDED AT |
| RE51. |
----------------------------------------------------
----------------------------------------------------
| IF ‘ANY NEW RU MEMBERS NOT LISTED’ SELECTED, |
| CONTINUE WITH RE52 |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1 AND ‘ANY NEW RU MEMBERS NOT LISTED’ |
| NOT SELECTED, GO TO RE53 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_24A |
----------------------------------------------------
RE52 ====
Please give me the name of each new related person who {is/was}
living with this household {on December 31, 2006}.
PROBE: Anyone else?
ENTER NAMES. VERIFY SPELLING. IF NO MIDDLE NAME OR INITIAL,
ENTER ‘NMN’.
TO MOVE CURSOR, USE ARROW KEYS.
TO ADD, PRESS CTRL/A. TO DELETE, PRESS CTRL/D.
TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER | RE52_02. IN RU NOW? |
|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display Selection] |
----------------------------------------------------
| DISPLAY ‘is’ IF NOT ROUND 5. DISPLAY ‘was’ IF |
| ROUND 5. DISPLAY ‘on December 31, 2006’ IF ROUND |
| 5. OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. ALLOW INTERVIEWERS TO ADD A PERSON(S) TO THE |
| ROSTER. |
| 3. ALLOW INTERVIEWERS TO DELETE ONLY THOSE |
| PERSONS WHO WERE ADDED AT THIS SCREEN. |
| 4. ALLOW INTERVIEWERS TO EDIT ONLY THOSE PERSONS |
| WHO WERE ADDED AT THIS SCREEN. |
| 5. WHEN SCREEN IS DISPLAYED, DISPLAY ‘YES’ IN |
| RE52_02 FOR EACH PERSON CODED ‘1’ (IN RU) AT |
| RE49_02 OR ADDED TO RU THIS ROUND. |
| 6. DO NOT ALLOW INTERVIEWERS TO CHANGE CODES IN |
| RE52_02. |
| 7. AUTOMATICALLY DISPLAY ‘YES’ AT RE52_02 FOR |
| PERSON ADDED AT THIS SCREEN. |
----------------------------------------------------
----------------------------------------------------
| ADD ENTERED PERSONS TO RU-MEMBERS-ROSTER AND FLAG |
| PERSONS AS ADDED AT RE52. |
----------------------------------------------------
----------------------------------------------------
| IF ROUND 1, CONTINUE WITH RE53 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_24A |
----------------------------------------------------
RE53 ====
{REFERENCE PERSON’S FIRST MIDDLE AND LAST NAME}
Are there any children or young people under 24 years of age
related to (REFERENCE PERSON) who are not listed on this form (HAND
HOUSEHOLD SUMMARY) and who usually live here but are currently
living away from home in the U.S., never married, going to school?
Please include any new member you may have just mentioned who is
under 24, never married, and living away from home going to school
in the U.S.
YES .................................... 1
NO ..................................... 2 {BOX_24}
REF ................................... -7 {BOX_24}
DK .................................... -8 {BOX_24}
----------------------------------------------------
| FOR CONTEXT HEADER, DISPLAY NHIS REFERENCE PERSON |
| IF RE42 CODED ‘1’ (YES), ‘-7’ (REF), OR ‘-8’ (DK).|
| OTHERWISE, DISPLAY PERSON SELECTED AT RE43 OR |
| RE44 OR NAME ENTERED AT RE45. |
----------------------------------------------------
RE54 ====
Who is under 24, never married, and living away at school in
the U.S.?
PROBE: Anyone else?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
| ROSTER. DU MEMBERS |
RE54_02. RUID |
RE54_03. GENDER |
RE54_04. AGE | RE54_05. INTERVIEW COMPLETED THIS ROUND |
|---|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display RUID] | [Display Selection] |
[Display Age] | [Display Selection] |
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE DU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘ANY NEW RU MEMBERS NOT LISTED’ AS THE |
| LAST ENTRY ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. RU MEMBERS, RUID, GENDER, AND AGE COLUMNS ARE |
| PROTECTED. CURSOR WILL NOT ENTER THESE |
| COLUMNS, SO NO CHANGES ARE ALLOWED INFORMATION|
| IN ANY OF THESE COLUMNS. |
| 3. IF NEW RU, AN ‘X’ WILL BE DISPLAYED IN THE |
| INTERVIEW COMPLETED THIS ROUND COLUMN FOR EACH|
| PERSON WHO HAS ALREADY BEEN INTERVIEWED IN THE|
| STANDARD RU OR ANOTHER NEW RU IN THE DU. |
| 4. IF PERSON WITH AN ‘X’ IN ‘INTERVIEW COMPLETED |
| THIS ROUND’ COLUMN IS SELECTED, DISPLAY |
| MESSAGE: ‘PERSON CANNOT BE SELECTED. HAS |
| BEEN INCLUDED IN INTERVIEW WITH ANOTHER RU.’ |
| 5. IF GENDER OR AGE NOT YET COLLECTED, DISPLAY |
| ‘--’ IN APPROPRIATE CELL(S). |
| 6. IF INTERVIEWER SELECTS A PERSON WHO HAS LEFT |
| THIS RU OR A CURRENT RU MEMBER, DISPLAY THE |
| MESSAGE: ‘SELECTION IS INAPPROPRIATE. MAKE |
| ANOTHER SELECTION.’ |
----------------------------------------------------
----------------------------------------------------
| ADD EACH SUCCESSFULLY SELECTED PERSON TO THE RU- |
| MEMBERS-ROSTER AND FLAG PERSON AS ADDED AT RE54. |
----------------------------------------------------
----------------------------------------------------
| IF ‘ANY NEW RU MEMBERS NOT LISTED’ SELECTED, |
| CONTINUE WITH RE55 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_22A |
----------------------------------------------------
RE55 ====
Please give me the name of each new related person who is
a student, under 24, never married, and living away at school.
PROBE: Anyone else?
ENTER NAMES. VERIFY SPELLING. IF NO MIDDLE NAME OR INITIAL,
ENTER ‘NMN’.
TO MOVE CURSOR, USE ARROW KEYS.
TO ADD, PRESS CTRL/A. TO DELETE, PRESS CTRL/D.
TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER | RE55_02. IN RU NOW? |
|---|---|
| 1. First Name Middle Name Last Name-35 |
[Display Selection] |
| 2. First Name Middle Name Last Name-35 |
[Display Selection] |
| 3. First Name Middle Name Last Name-35 |
[Display Selection] |
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE RU-MEMBERS-ROSTER. |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. ALLOW INTERVIEWER TO USE UP AND DOWN ARROW |
| KEYS TO MOVE CURSOR AMONG ROWS. |
| 2. ALLOW INTERVIEWERS TO ADD A PERSON(S) TO THE |
| ROSTER. |
| 3. ALLOW INTERVIEWERS TO DELETE ONLY THOSE |
| PERSONS WHO WERE ADDED AT THIS SCREEN. |
| 4. ALLOW INTERVIEWERS TO EDIT ONLY THOSE PERSONS |
| WHO WERE ADDED AT THIS SCREEN. |
| 5. DISPLAY ‘YES’ IN RE55_02 FOR EACH PERSON |
| CODED ‘1’ (IN RU) AT RE52_02 WHEN SCREEN IS |
| DISPLAYED. |
| 6. DO NOT ALLOW INTERVIEWERS TO CHANGE CODES IN |
| RE55_02. |
| 7. AUTOMATICALLY DISPLAY ‘YES’ AT RE55_02 FOR |
| PERSON ADDED AT THIS SCREEN. |
----------------------------------------------------
----------------------------------------------------
| ADD PERSONS TO THE RU-MEMBERS-ROSTER AND |
| FLAG PERSONS AS ADDED AT RE55. |
----------------------------------------------------
BOX_22A =======
----------------------------------------------------
| IF AT LEAST ONE PERSON ADDED TO THE RU-MEMBERS- |
| ROSTER AT RE54 OR RE55, CONTINUE WITH LOOP_05 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_24 |
----------------------------------------------------
LOOP_05 =======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| RE56-END_LP05 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_05 COLLECTS INFORMATION |
| THAT CAPI REQUIRES TO DETERMINE THE KEYNESS AND |
| ELIGIBILITY OF PERSONS WHO WERE ADDED TO THE RU |
| AT RE54 OR RE55. THIS LOOP CYCLES ON RU MEMBERS |
| WHO MEET THE FOLLOWING CONDITION: |
| - NEW RU MEMBER < 24, NEVER MARRIED, LIVING AWAY |
| AT SCHOOL (SELECTED AT RE54 OR ADDED AT RE55) |
----------------------------------------------------
----------------------------------------------------
| NOTE: AT THE END OF THE LOOP, CAPI REMOVES FROM |
| THE RU-MEMBERS-ROSTER ANY NEW RU MEMBER WHO IS |
| ADDED AT RE54 OR RE55 AND WHO IS FLAGGED AS |
| ‘NEW STUDENT’ OR ‘NON-MILITARY MOVER IN U.S.’ |
| DURING THE COURSE OF THE LOOP. THE RE SECTION |
| WILL COLLECT LOCATING AND OTHER PERTINENT |
| INFORMATION FOR SUCH PERSONS BUT THEY WILL NOT BE |
| INCLUDED IN THIS INTERVIEW BEYOND THE RE SECTION. |
| |
| IMMEDIATELY AFTER LOOP_05 ENDS, CAPI WILL REMOVE |
| FROM THE RU-MEMBERS-ROSTER ANY NEW RU MEMBER WHO |
| IS FLAGGED AS ‘SAMPLEABLE AT NHIS’ DURING THE |
| COURSE OF THE LOOP. NO INFORMATION WILL BE |
| COLLECTED FOR SUCH PERSONS. |
| |
| NEW RU MEMBERS WHO ARE NOT ‘NEW STUDENT’, ‘NON- |
| MILITARY MOVER IN U.S.’, OR ‘SAMPLEABLE AT NHIS’ |
| REMAIN ON THE RU-MEMBERS-ROSTER AFTER LOOP_05. |
----------------------------------------------------
RE56 ====
{PERSON’S FIRST MIDDLE AND LAST NAMES}
(Are/Is) (PERSON) attending ...
grades 1-12, ........................... 1
a college or university, or ............ 2
some other training school
after high school? .................. 3
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE56A =====
{PERSON’S FIRST MIDDLE AND LAST NAMES}
Where (were/was) (PERSON) living when this household participated
in the National Health Interview Survey on {MONTH, DAY, YEAR OF
NHIS INTERVIEW}?
PERSON WAS ...
INSTITUTIONALIZED ................. 1 {BOX_23A}
STUDENT UNDER 24 LIVING AWAY AT
POST-SECONDARY SCHOOL ......... 2
PERSON WAS NOT FT MILITARY AT TIME
OF NHIS AND WAS ...
LIVING IN U.S. .................... 3
LIVING OUTSIDE U.S. ............... 4 {BOX_23A}
PERSON WAS FT MILITARY AT TIME OF NHIS
AND WAS ...
LIVING AT A MILITARY FACILITY ..... 5 {BOX_23A}
LIVING OUTSIDE U.S................. 6 {BOX_23A}
LIVING IN ANOTHER HOUSEHOLD IN U.S. 7
PERSON WAS ...
LIVING WITH THIS FAMILY (PERSON LEFT
OFF NHIS ROSTER) .............. 8 {BOX_23A}
OTHER ............................ 91
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
----------------------------------------------------
| NOTE: THE RESPONSE CATEGORY ‘LIVING WITH THIS |
| FAMILY (PERSON LEFT OFF NHIS ROSTER)’ INCLUDES |
| PERSONS WHO WERE LIVING AWAY AT SCHOOL IN GRADES |
| 1 - 12. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ONE OF THE FOLLOWING: |
| - ‘1’ (INSTITUTIONALIZED), |
| OR |
| - ‘4’ (NOT FT MILITARY AT TIME OF NHIS AND LIVING|
| OUTSIDE U.S.), |
| OR |
| - ‘5’ (FT MILITARY AT TIME OF NHIS AND LIVING |
| AT A MILITARY FACILITY), |
| OR |
| - ‘6’ (FT MILITARY AT TIME OF NHIS AND LIVING |
| OUTSIDE U.S.), |
| OR |
| - ‘8’ (LIVING WITH THIS FAMILY BUT LEFT OFF NHIS |
| ROSTER), |
| FLAG PERSON AS ‘NOT SAMPLEABLE AT NHIS’ (PERSON |
| HAD NO POSSIBILITY OF BEING INCLUDED IN THE NHIS |
| SAMPLE). |
| |
| IF CODED ANY OTHER CODE (INCLUDING ‘-7’ (REFUSED) |
| AND ‘-8’ (DON’T KNOW), FLAG PERSON AS ‘SAMPLEABLE |
| AT NHIS.’ (PERSON HAD POSSIBILITY OF BEING |
| INCLUDED IN THE NHIS SAMPLE.) |
----------------------------------------------------
----------------------------------------------------
| IF PERSON MEETS BOTH OF THE FOLLOWING CONDITIONS: |
| - PERSON IS FLAGGED AS ‘NOT SAMPLEABLE AT NHIS’ |
| (SEE PREVIOUS BOX) |
| AND |
| - PERSON IS ATTENDING (COLLEGE OR UNIVERSITY) OR |
| (SOME OTHER TRAINING SCHOOL AFTER HIGH SCHOOL) |
| (THAT IS, RE56 IS CODED ‘2’ OR ‘3’ FOR PERSON),|
| FLAG PERSON AS A ‘NEW STUDENT’. |
----------------------------------------------------
----------------------------------------------------
| IF PERSON MEETS BOTH OF THE FOLLOWING CONDITIONS: |
| - PERSON IS FLAGGED AS ‘NOT SAMPLEABLE AT NHIS’ |
| (SEE BOX ABOVE) |
| AND |
| - RE56 IS CODED ‘-7’ (REFUSED) OR ‘-8’ (DON’T |
| KNOW) FOR PERSON, |
| FLAG PERSON AS ‘NON-MILITARY MOVER IN U.S.’ |
----------------------------------------------------
RE56B =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
At the time of the National Health Interview Survey on
{MONTH, DAY, YEAR OF NHIS INTERVIEW}, (were/was) (PERSON)
17 to 23 years old?
YES .................................... 1
NO ..................................... 2 {END_LP05}
REF ................................... -7 {END_LP05}
DK .................................... -8 {END_LP05}
----------------------------------------------------
| IF CODED ‘1’ (YES) |
| AND |
| RE56A CODED ‘2’ (STUDENT UNDER 24 LIVING AWAY AT |
| POST-SECONDARY SCHOOL), |
| CONTINUE WITH RE56C |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘1’ (YES) |
| AND |
| RE56A NOT CODED ‘2’ (STUDENT UNDER 24 LIVING AWAY |
| AT POST-SECONDARY SCHOOL), |
| GO TO BOX_23A |
----------------------------------------------------
RE56C =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
At the time of the National Health Interview Survey on {MONTH,
DAY, YEAR OF NHIS INTERVIEW} were either of (PERSON)’s parents
living in this household?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... –8
----------------------------------------------------
| IF CODED ‘1’ (YES), FLAG PERSON AS ‘A NEW STUDENT’.|
----------------------------------------------------
BOX_23A =======
----------------------------------------------------
| IF PERSON MEETS EITHER OF THE FOLLOWING |
| CONDITIONS: |
| - FLAGGED AS A ‘NEW STUDENT’ (SEE BOX ON RE56A |
| AND RE56C) |
| OR |
| - FLAGGED AS ‘NON-MILITARY MOVER IN U.S.’ (SEE |
| BOX ON RE56A) |
| |
| REMOVE PERSON FROM RU-MEMBERS-ROSTER. |
| THE RE SECTION WILL COLLECT LOCATING AND OTHER |
| PERTINENT INFORMATION FOR PERSON BUT PERSON WILL |
| NOT BE INCLUDED IN THIS INTERVIEW AFTER THE RE |
| SECTION. INFORMATION FOR PERSON MAY BE COLLECTED |
| AS PART OF ANOTHER RU. |
----------------------------------------------------
END_LP05 ========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| WHO MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_05 AND CONTINUE WITH BOX_23 |
----------------------------------------------------
BOX_23 ======
----------------------------------------------------
| IF NO ONE ON THE RU-MEMBERS-ROSTER IS FLAGGED |
| AS ‘SAMPLEABLE AT NHIS’, GO TO BOX_24 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH RE56D |
----------------------------------------------------
RE56D =====
At the time we are only collecting information about some of
the students you just now identified. Therefore, the remaining
questions will not be asked about (READ NAMES BELOW).
TO SCROLL, USE ARROW KEYS. TO LEAVE, PRESS ESC.
[1. First Name,[Middle Name],Last Name-65]
[2. First Name,[Middle Name],Last Name-65]
[3. First Name,[Middle Name],Last Name-65]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL PERSONS|
| ON THE RU-MEMBERS-ROSTER WHO ARE FLAGGED AS |
| ‘SAMPLEABLE AT NHIS’. (SEE BOX ON RE56A) |
----------------------------------------------------
----------------------------------------------------
| REMOVE ALL PERSONS WHO ARE FLAGGED AS ‘SAMPLEABLE |
| AT NHIS’ (THAT IS, ALL RU MEMBERS DISPLAYED AT |
| RE56D) FROM THE RU-MEMBERS-ROSTER. SUCH PERSONS |
| ARE NOT ELIGIBLE FOR THIS INTERVIEW AND ARE |
| NOT KEY. INFORMATION WILL NOT BE COLLECTED FOR |
| SUCH PERSONS AS PART OF THIS OR ANY OTHER RU. |
----------------------------------------------------
----------------------------------------------------
| GO TO BOX_24 |
----------------------------------------------------
BOX_24A =======
----------------------------------------------------
| IF ROUND 1, GO TO BOX_25A |
----------------------------------------------------
----------------------------------------------------
| IF ROUNDS 2-5, CONTINUE WITH RE57A. |
----------------------------------------------------
RE57A =====
VERIFY DISPLAYED INFORMATION.
ASK APPROPRIATE QUESTION FOR EACH BLANK FIELD.
ENTER GENDER. 1 = MALE, 2 = FEMALE
IF NOT OBVIOUS, ASK: Is (READ NAME BELOW) male or female?
What is (READ NAME BELOW)’s date of birth?
ENTER MM/DD/YYYY.
VERIFY AGE - IF AGE IS INCORRECT, RE-ENTER DATE OF BIRTH.
IF DATE OF BIRTH UNKNOWN, PROBE FOR AGE AND ENTER IF KNOWN.
{NOTE: FOR ROUND 5, AGE IS CALCULATED AS OF DEC 31, 2006.}
TO MOVE CURSOR, USE ARROW KEYS. TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER |
RE57A_02. GENDER | RE57A_03. DATE OF BIRTH |
RE57A_04. AGE |
|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Enter Selection] |
[Enter Month Day Year-4] |
[Verify/Enter Age] |
| 2. First Name Middle Name Last Name-35 |
[Enter Selection] |
[Enter Month Day Year-4] |
[Verify/Enter Age] |
| 3. First Name Middle Name Last Name-35 |
[Enter Selection] |
[Enter Month Day Year-4] |
[Verify/Enter Age] |
----------------------------------------------------
| DISPLAY ‘NOTE: FOR ROUND 5, AGE IS CALCULATED AS |
| OF DEC 31, 2006.’ IF ROUND 5. OTHERWISE, USE A |
| NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS ON THE RU-MEMBERS-ROSTER |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. FOR ALL PERSONS ON ROSTER, PRESENT BLANK |
| FIELDS FOR THE MISSING DATA ITEMS. |
| 2. PLACE CURSOR ON FIRST BLANK FIELD. AFTER |
| ENTRY, MOVE CURSOR TO NEXT BLANK CELL ON THAT |
| ROW. |
| 3. COMPUTE AGE FROM DATE OF BIRTH AND DISPLAY IN |
| RE57A_04. IF UNABLE TO CALCULATE AGE BECAUSE |
| OF MISSING DATA, DISPLAY ‘?’ IN RE57A_04. |
| 4. ALLOW INTERVIEWERS TO USE ALL ARROW KEYS TO |
| MOVE CURSOR AMONG ROWS AND COLUMNS. |
| 5. INTERVIEWERS SHOULD NOT BE ALLOWED TO ADD NEW |
| PERSONS. |
| 6. INTERVIEWERS SHOULD NOT BE ALLOWED TO EDIT |
| NAMES OF ANY RU MEMBER ON ROSTER. |
----------------------------------------------------
----------------------------------------------------
| IF AGE MISSING FOR ANY RU MEMBER, CONTINUE WITH |
| LOOP_06A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_26 |
----------------------------------------------------
----------------------------------------------------
| NOTE: FOR ROUND 5, AGE IS CALCULATED AS OF |
| DECEMBER 31, 2006. ALL AGE SKIPS (THROUGHOUT THE |
| QUESTIONNAIRE) WILL BE BASED ON THIS AGE. |
----------------------------------------------------
LOOP_06A ========
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| RE57B-END_LP06A |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_06A COLLECTS AGE ESTIMATE |
| FOR RU MEMBERS WHOSE AGE IS MISSING. THIS LOOP |
| CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING |
| CONDITION: |
| - PERSON’S AGE MISSING FROM RE57A_04 |
----------------------------------------------------
RE57B =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
PROBE FOR RESPONDENT’S BEST ESTIMATE OF AGE.
{(Are/Is)/As of December 31, 2006, (were/was)} (PERSON)...
Less than 1 year old, .................. 1 {END_LP06A}
1 - 4, ................................. 2 {END_LP06A}
5 - 15, ................................ 3 {END_LP06A}
16 - 23, ............................... 4 {END_LP06A}
24 - 34, ............................... 5 {END_LP06A}
35 - 44, ............................... 6 {END_LP06A}
45 - 54, ............................... 7 {END_LP06A}
55 - 64, or ............................ 8 {END_LP06A}
65 years or older? ..................... 9 {END_LP06A}
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
| DISPLAY ‘(Are/Is)’ IF NOT ROUND 5. DISPLAY ‘As of|
| December 31, 2006, (were/was)’ IF ROUND 5. |
----------------------------------------------------
RE57C =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
ENTER YOUR BEST GUESS FOR (PERSON)’S AGE {AS OF DECEMBER 31, 2006}.
Less than 1 year old, .................. 1
1 - 4, ................................ 2
5 - 15, ............................... 3
16 - 23, ............................... 4
24 - 34, ............................... 5
35 - 44, ............................... 6
45 - 54, ............................... 7
55 - 64, or ............................ 8
65 years or older? ..................... 9
[Code One]
----------------------------------------------------
| DISPLAY ‘AS OF DECEMBER 31, 2006’ IF ROUND 5. |
| OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| REFUSED AND DON’T KNOW DISALLOWED. |
----------------------------------------------------
END_LP06A =========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_06A AND GO TO BOX_26 |
----------------------------------------------------
BOX_24 ======
---------------------------------------------------
| IF AT LEAST ONE PERSON IN THE RU-MEMBERS-ROSTER |
| MEETS BOTH OF THE FOLLOWING CONDITIONS: |
| - ADDED TO THE RU THIS ROUND |
| AND |
| - NOT A DU MEMBER AT THE TIME OF NHIS (THAT IS, |
| A NEW RU MEMBER NOT SELECTED FROM THE |
| DU-MEMBERS-ROSTER), |
| CONTINUE WITH RE57 |
---------------------------------------------------
---------------------------------------------------
| OTHERWISE, GO TO BOX_25A |
---------------------------------------------------
BOX_25
======
OMITTED.
RE57 ====
ASK APPROPRIATE QUESTION FOR EACH BLANK FIELD.
ENTER GENDER. 1 = MALE, 2 = FEMALE
IF NOT OBVIOUS, ASK: Is (READ NAME BELOW) male or female?
What is (READ NAME BELOW)’s date of birth?
ENTER MM/DD/YYYY.
VERIFY AGE - IF AGE IS INCORRECT, RE-ENTER DATE OF BIRTH.
IF DATE OF BIRTH UNKNOWN, PROBE FOR AGE AND ENTER IF KNOWN.
TO MOVE CURSOR, USE ARROW KEYS. TO LEAVE, PRESS ESC.
| ROSTER. RU MEMBER |
RE57_02. GENDER | RE57_03. DATE OF BIRTH |
RE57_04. AGE |
|---|---|---|---|
| 1. First Name Middle Name Last Name-35 |
[Enter Selection] |
[Enter Month Day Year-4] |
[Verify/Enter Age] |
| 2. First Name Middle Name Last Name-35 |
[Enter Selection] |
[Enter Month Day Year-4] |
[Verify/Enter Age] |
| 3. First Name Middle Name Last Name-35 |
[Enter Selection] |
[Enter Month Day Year-4] |
[Verify/Enter Age] |
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED IN ALL FIELDS. |
----------------------------------------------------
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM DISPLAYS ALL |
| PERSONS IN THE RU-MEMBERS-ROSTER WHO MEET THE |
| FOLLOWING CONDITION: |
| - PERSON IS A NEW RU MEMBER ADDED IN CURRENT |
| ROUND WHO WAS NOT SELECTED FROM THE DU-MEMBERS-|
| ROSTER |
----------------------------------------------------
----------------------------------------------------
| MATRIX BEHAVIOR SPECIFICATIONS: |
| |
| 1. FOR ALL PERSONS ON ROSTER, PRESENT BLANK |
| FIELDS FOR THE MISSING DATA ITEMS (EITHER NOT |
| YET COLLECTED OR MISSING FROM PREVIOUS ROUNDS)|
| 2. PLACE CURSOR ON FIRST BLANK FIELD. AFTER |
| ENTRY, MOVE CURSOR TO NEXT BLANK CELL ON THAT |
| ROW. |
| 3. COMPUTE AGE FROM DATE OF BIRTH AND DISPLAY IN |
| RE57_04. IF UNABLE TO CALCULATE AGE BECAUSE |
| OF MISSING DATA, DISPLAY ‘?’ IN RE57_04. |
| 4. ALLOW INTERVIEWERS TO USE ALL ARROW KEYS TO |
| MOVE CURSOR AMONG ROWS AND COLUMNS. |
| 5. INTERVIEWERS SHOULD NOT BE ALLOWED TO ADD NEW |
| PERSONS. |
| 6. INTERVIEWERS SHOULD NOT BE ALLOWED TO EDIT |
| NAMES OF ANY RU MEMBER ON ROSTER. |
----------------------------------------------------
----------------------------------------------------
| IF AGE NOT MISSING FOR ANY NEW RU MEMBER WHO WAS |
| NOT A DU MEMBER IN PREVIOUS ROUND (THAT IS, AGE |
| NOT MISSING AT RE57_04)), |
| GO TO BOX_25A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (AGE IS MISSING FOR ANY NEW RU MEMBER |
| WHO WAS NOT A DU MEMBER IN PREVIOUS ROUND (THAT |
| IS, AGE IS MISSING AT RE57_04)), |
| CONTINUE WITH LOOP_06 |
----------------------------------------------------
LOOP_06 =======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| RE58-END_LP06 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_06 COLLECTS AN AGE ESTIMATE|
| FOR NEW RU MEMBERS WHOSE AGE IS MISSING. THIS |
| LOOP CYCLES ON ALL RU MEMBERS WHO MEET THE |
| FOLLOWING CONDITION: |
| - PERSON’S AGE IS MISSING AT RE57_04 |
----------------------------------------------------
RE58 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
PROBE FOR RESPONDENT’S BEST ESTIMATE OF AGE.
(Are/Is) (PERSON)...
Less than 1 year old, .................. 1 {END_LP06}
1 - 4, ................................. 2 {END_LP06}
5 - 15, ................................ 3 {END_LP06}
16 - 23, ............................... 4 {END_LP06}
24 - 34, ............................... 5 {END_LP06}
35 - 44, ............................... 6 {END_LP06}
45 - 54, ............................... 7 {END_LP06}
55 - 64, or ............................ 8 {END_LP06}
65 years or older? ..................... 9 {END_LP06}
REF ................................... -7
DK .................................... -8
[Code One]
RE59 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
ENTER YOUR BEST GUESS FOR (PERSON)’S AGE.
Less than 1 year old, .................. 1
1 - 4, ................................ 2
5 - 15, ............................... 3
16 - 23, ............................... 4
24 - 34, ............................... 5
35 - 44, ............................... 6
45 - 54, ............................... 7
55 - 64, or ............................ 8
65 years or older? ..................... 9
[Code One]
END_LP06 ========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| WHO MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_06 AND CONTINUE WITH BOX_25A |
----------------------------------------------------
BOX_25A =======
----------------------------------------------------
| IF ROUND 1 AND AT LEAST ONE PERSON ON THE |
| RU-MEMBERS-ROSTER WAS A MEMBER OF THE RU OR DU AT |
| THE DATE OF THE NHIS INTERVIEW, |
| OR |
| IF AT LEAST ONE PERSON REMOVED FROM THE RU- |
| MEMBERS-ROSTER THIS ROUND MEETS BOTH OF THE |
| FOLLOWING CONDITIONS: |
| - PERSON WAS A MEMBER OF THE RU OR DU AT THE DATE|
| OF THE NHIS INTERVIEW |
| AND |
| - PERSON IS FLAGGED AS A ‘NEW STUDENT’, |
| CONTINUE WITH LOOP_07 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_26 |
----------------------------------------------------
LOOP_07 =======
----------------------------------------------------
| FOR EACH ELEMENT IN THE DU MEMBERS-ROSTER, ASK |
| RE60-END_LP07 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_07 UPDATES NAME, GENDER, |
| BIRTH DATE, AND AGE OF BOTH CURRENT RU MEMBERS WHO|
| WERE MEMBERS OF THE RU OR DU AT THE TIME OF NHIS |
| AND PERSONS WHO ARE FLAGGED AS ‘NEW STUDENT’. |
| THIS LOOP CYCLES ON ALL DU MEMBERS WHO MEET ANY |
| ONE OF THE FOLLOWING CONDITIONS: |
| - PERSON IS A CURRENT MEMBER OF THIS RU AND WAS |
| A MEMBER OF THIS RU AT THE TIME OF NHIS |
| OR |
| - PERSON IS A CURRENT MEMBER OF THIS RU AND WAS A|
| MEMBER OF THE DU AT THE TIME OF NHIS |
| OR |
| - PERSON WAS REMOVED FROM THE RU-MEMBERS-ROSTER |
| DURING THIS INTERVIEW AND IS FLAGGED AS A |
| ‘NEW STUDENT’ |
----------------------------------------------------
RE60 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Let’s review some information about (PERSON). Please look at
this form (HAND HOUSEHOLD SUMMARY) and tell me if (PERSON)’s
name is spelled correctly.
MAKE CORRECTIONS TO NAME BELOW.
IF NO CORRECTION TO A FIELD IS NECESSARY, PRESS ENTER.
IF CORRECTION TO A FIELD IS NECESSARY, RE-TYPE ENTIRE FIELD.
IF NO MIDDLE NAME OR INITIAL, ENTER ‘NMN’.
Current Info: [NHIS FIRST NAME]
[NHIS MIDDLE NAME]
[NHIS LAST NAME]
FIRST NAME (RE60_01): [_________________]
MIDDLE NAME (RE60_02): [_________________]
LAST NAME (RE60_03): [_________________]
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED AT ALL FIELDS. |
| HOWEVER, DO NOT ALLOW INTERVIEWER TO CHANGE ‘REAL |
| DATA’ TO ‘-7’ (REFUSED) OR ‘-8’ (DON’T KNOW). |
----------------------------------------------------
RE61 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
ASK IF NOT OBVIOUS: I have (PERSON) recorded as (READ GENDER
BELOW). Is that correct?
MAKE CORRECTIONS TO GENDER BELOW.
IF NO CORRECTION IS NECESSARY, PRESS ENTER.
IF CORRECTION IS NECESSARY, ENTER APPROPRIATE CODE.
1 = MALE 2 = FEMALE
Current Info: [NHIS GENDER]
[Enter Gender]........................
REF .................................. -7
DK ................................... -8
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED. HOWEVER, DO NOT |
| ALLOW INTERVIEWER TO CHANGE ‘REAL DATA’ TO ‘-7’ |
| (REFUSED) OR ‘-8’ (DON’T KNOW). |
----------------------------------------------------
RE62 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
I have recorded that (PERSON) was born on (READ DATE BELOW).
Is that correct?
MAKE CORRECTIONS TO DATE OF BIRTH BELOW.
IF NO CORRECTION TO A FIELD IS NECESSARY, PRESS ENTER.
IF CORRECTION TO A FIELD IS NECESSARY, RE-TYPE ENTIRE FIELD.
Current Info: [NHIS DATE OF BIRTH]
[Enter Month,Day,Year-4] ............
REF ................................. -7
DK .................................. -8
----------------------------------------------------
| REFUSED AND DON’T KNOW ALLOWED. HOWEVER, DO NOT |
| ALLOW INTERVIEWER TO CHANGE ‘REAL DATA’ TO ‘-7’ |
| (REFUSED) OR ‘-8’ (DON’T KNOW). |
----------------------------------------------------
----------------------------------------------------
| IF CURRENT INFO IS NOT AVAILABLE, ENTRY FOR DATE |
| OF BIRTH IS REQUIRED. (REF AND DK ARE ALLOWED.) |
----------------------------------------------------
----------------------------------------------------
| IF ANY FIELD IN DATE OF BIRTH CODED ‘-7’ (REFUSED)|
| OR ‘-8’ (DON’T KNOW), GO TO RE64 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH RE63 |
----------------------------------------------------
RE63 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
So (PERSON) is {AGE CALCULATED FROM DATE OF BIRTH AT RE62} years
old. Is that correct?
YES ..................................... 1 {END_LP07}
NO ...................................... 2
REF .................................... -7 {RE65}
DK ..................................... -8 {RE65}
----------------------------------------------------
| IF CODED ‘2’ (NO), DISPLAY MESSAGE: ‘IF AGE |
| INCORRECT, USE CTRL/B AND CORRECT DATE OF BIRTH |
| AT PREVIOUS SCREEN.’ |
----------------------------------------------------
RE64 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
How old (are/is) (PERSON)?
[Enter Age] ........................... {END_LP07}
REF ................................... -7
DK .................................... -8
RE65 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
PROBE FOR RESPONDENT’S BEST ESTIMATE OF AGE.
(Are/Is) (PERSON)...
Less than 1 year old, .................. 1 {END_LP07}
1 - 4, ................................ 2 {END_LP07}
5 - 15, ............................... 3 {END_LP07}
16 - 23, ............................... 4 {END_LP07}
24 - 34, ............................... 5 {END_LP07}
35 - 44, ............................... 6 {END_LP07}
45 - 54, ............................... 7 {END_LP07}
55 - 64, or ............................ 8 {END_LP07}
65 years or older? ..................... 9 {END_LP07}
REF ................................... -7
DK .................................... -8
[Code One]
RE66 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
ENTER YOUR BEST GUESS FOR (PERSON)’S AGE.
Less than 1 year old, .................. 1
1 - 4, ................................ 2
5 - 15, ............................... 3
16 - 23, ............................... 4
24 - 34, ............................... 5
35 - 44, ............................... 6
45 - 54, ............................... 7
55 - 64, or ............................ 8
65 years or older? ..................... 9
[Code One]
END_LP07 ========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN RU-MEMBERS-ROSTER WHO |
| MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_07 AND CONTINUE WITH BOX_26 |
----------------------------------------------------
BOX_26 ======
----------------------------------------------------
| IF ROUND 1 AND AT LEAST ONE RU MEMBER MEETS |
| ALL THE FOLLOWING CONDITIONS: |
| - ADDED TO THE RU THIS ROUND |
| AND |
| - NOT A NEWBORN (THAT IS, NOT BORN BETWEEN NHIS |
| INTERVIEW DATE AND DATE OF THE CURRENT |
| INTERVIEW), |
| GO TO LOOP_08 |
----------------------------------------------------
----------------------------------------------------
| IF NOT ROUND 1 AND AT LEAST ONE RU MEMBER MEETS |
| ALL OF THE FOLLOWING CONDITIONS: |
| - ADDED TO THE RU THIS ROUND |
| AND |
| - NOT IN ANOTHER RU AT THE END OF THE PREVIOUS |
| ROUND |
| AND |
| - NOT A NEWBORN (THAT IS, NOT BORN BETWEEN |
| 1/1/2005 AND THE DATE OF THE CURRENT |
| INTERVIEW), CONTINUE WITH LOOP_07A |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO BOX_27 |
----------------------------------------------------
LOOP_07A ========
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| RE66A-END_LP07A |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_07A COLLECTS INFORMATION |
| ON THE LOCATION OF NEW RU MEMBERS ON 1/1/2005 TO |
| DETERMINE THEIR KEYNESS AND ELIGIBILITY. THIS |
| LOOP CYCLES ON RU MEMBERS WHO MEET THE FOLLOWING |
| CONDITIONS: |
| - ADDED TO RU IN CURRENT ROUND |
| AND |
| - NOT IN ANOTHER RU AT THE END OF THE PREVIOUS |
| ROUND |
| AND |
| - NOT NEWBORN (THAT IS, NOT BORN BETWEEN |
| 1/1/2005 AND THE DATE OF THE CURRENT |
| INTERVIEW) |
----------------------------------------------------
RE66A =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) start living with the family?
[Enter Month,Day,Year-4] ..............
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| EDIT (FOR ROUND 5): DATE ENTERED MUST BE ON OR |
| BEFORE 12/31/2006. IF A DATE AFTER 12/31/2006 IS |
| ENTERED, DISPLAY THE FOLLOWING MESSAGE: ‘DATE |
| MUST BE ON OR BEFORE 12/31/2006. IF PERSON JOINED|
| RU AFTER 12/31/2006, USE CTRL/B TO BACK-UP RE49/ |
| RE52 AND REVIEW ENTRIES.’ |
----------------------------------------------------
----------------------------------------------------
| IF DATE PREVIOUS ROUND INTERVIEW DATE, |
| CONTINUE WITH RE66B |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO RE66C |
----------------------------------------------------
RE66B =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Let me make sure that I have entered this date correctly. I
have recorded that (PERSON) began living with this family on
{RE66A DATE.}. That is before the interview on {DATE OF PREVIOUS
ROUND INTERVIEW}. Is that correct?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
[Code One]
----------------------------------------------------
| FOR DATE OF PREVIOUS ROUND INTERVIEW, DISPLAY |
| DATE OF PREVIOUS ROUND MEPS INTERVIEW. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘2’ (NO), DISPLAY MESSAGE: ‘USE CTRL/B |
| AND CORRECT DATE PERSON JOINED RU AT PREVIOUS |
| SCREEN.’ |
----------------------------------------------------
BOX_26A
=======
OMITTED.
RE66C =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On January 1, 2005, was (PERSON) living in an institution?
YES .................................... 1 {RE66G}
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION FOR LIVING IN AN INSTITUTION.
RE66D =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On January 1, 2005, was (PERSON) living outside the United
States?
YES .................................... 1 {END_LP07A}
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF LIVING OUTSIDE U.S.
----------------------------------------------------
| IF PERSON < 18 YEARS OLD, GO TO RE66F |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH RE66E |
----------------------------------------------------
RE66E =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On January 1, 2005, was (PERSON) serving on full-time active
duty in the Armed Forces?
YES .................................... 1 {END_LP07A}
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF FULL-TIME MILITARY.
RE66F =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Where (were/was) (PERSON) living on January 1, 2005?
NOT YET BORN ............................ 1 {END_LP07A}
INSTITUTIONALIZED ....................... 2 {RE66G}
STUDENT UNDER 24 LIVING AWAY AT SCHOOL
IN GRADES 1-12 ....................... 3 {END_LP07A}
STUDENT UNDER 24 LIVING AWAY AT
POST-SECONDARY SCHOOL ................ 4 {RE66J}
ANOTHER HOUSEHOLD - NOT FULL-TIME
MILITARY ON 1/1/2005 ................. 5 {END_LP07A}
ANOTHER HOUSEHOLD/MILITARY FACILITY -
FULL-TIME MILITARY ON 1/1/2005 ....... 6 {RE66K}
LIVING WITH THIS FAMILY (PERSON LEFT
OFF ROSTER LAST INTERVIEW) ........... 7 {END_LP07A}
OTHER .................................. 91
REF .................................... -7 {END_LP07A}
DK ..................................... -8 {END_LP07A}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE66FOV =======
ENTER OTHER:
[Enter Other Specify] ................. {END_LP07A}
REF ................................... -7 {END_LP07A}
DK .................................... -8 {END_LP07A}
RE66G =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
What type of institution (were/was) (PERSON) living in on
January 1, 2005?
NURSING HOME ........................ 1
OTHER LONG-TERM HEALTH CARE
INSTITUTION (EXCLUDE COMMUNITY
BASED HOSPITAL) ................... 2
OTHER NON-HEALTH CARE INSTITUTION ... 3 {END_LP07A}
REF ................................ -7
DK ................................. -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE66H =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Please give me the name and address of the nursing home or long
term care facility where (PERSON) (were/was) on January 1, 2005?
NAME (RE66H_01): [_____________]
STREET ADDRESS1 (RE66H_02): [_____________]
STREET ADDRESS2 (RE66H_03): [_____________]
CITY (RE66H_04): [_____________]
STATE (RE66H_05): [_____________]
ZIP CODE (RE66H_06): [_____________]
PRESS F1 FOR LIST OF STATE ABBREVIATIONS.
----------------------------------------------------
| CODES ‘-7’ (REFUSED) AND ‘-8’ (DON’T KNOW) ARE |
| ALLOWED ON EACH FORM ITEM. |
----------------------------------------------------
----------------------------------------------------
| GO TO END_LP07A |
----------------------------------------------------
RE66I ===== OMITTED.
RE66J =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Were either of (PERSON)’S parents living in this household on
January 1, 2005?
YES .................................... 1 {END_LP07A}
NO ..................................... 2 {END_LP07A}
REF ................................... -7 {END_LP07A}
DK .................................... -8 {END_LP07A}
RE66K =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
(Were/Was) (PERSON) living in another household or in a military
facility on January 1, 2005?
ANOTHER HOUSEHOLD ................... 1
MILITARY FACILITY ................... 2
REF ................................ -7
DK ................................. -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE66KOV ======= OMITTED.
END_LP07A =========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_07A AND CONTINUE WITH BOX_27 |
----------------------------------------------------
LOOP_08 =======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK |
| RE67-END_LP08 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_08 COLLECTS INFORMATION |
| ON THE LOCATION AT THE TIME OF NHIS OF NEW RU |
| MEMBERS WHO ARE NOT NEWBORN TO DETERMINE THEIR |
| KEYNESS AND ELIGIBILITY. THIS LOOP CYCLES ON RU |
| MEMBERS WHO MEET BOTH OF THE FOLLOWING CONDITIONS:|
| - ADDED TO RU IN CURRENT ROUND |
| AND |
| - NOT NEWBORN (THAT IS, NOT BORN BETWEEN THE |
| NHIS INTERVIEW DATE AND THE DATE OF THE |
| CURRENT INTERVIEW) |
----------------------------------------------------
RE67 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
On what date did (PERSON) start living with the family
{before leaving to live at school}?
[Enter Month,Day,Year-4] ..............
REF ................................... -7 {RE73}
DK .................................... -8 {RE73}
----------------------------------------------------
| DISPLAY ‘before leaving to live at school’ IF |
| PERSON IS A STUDENT LIVING AWAY AT SCHOOL |
| (SELECTED AT RE54 OR ADDED AT RE55). OTHERWISE, |
| USE NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF DATE < PREVIOUS ROUND INTERVIEW DATE, |
| CONTINUE WITH RE68 |
----------------------------------------------------
----------------------------------------------------
| IF DATE = OR > PREVIOUS ROUND INTERVIEW DATE, |
| GO TO RE73 |
----------------------------------------------------
RE68 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Let me make sure that I have entered this date correctly. I
have recorded that (PERSON) began living with this family on
{RE67 DATE.}. That is before the interview on {MONTH, DAY, YEAR
OF NHIS INTERVIEW}. Is that correct?
YES .................................... 1
NO ..................................... 2
REF ................................... -7 {RE73}
DK .................................... -8 {RE73}
[Code One]
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| IF RE68 CODED ‘1’ (YES), CODE RE73 ‘7’ (LIVING |
| WITH THIS FAMILY (PERSON LEFT OFF NHIS ROSTER)) |
| AUTOMATICALLY BY CAPI, THEN GO TO END_LP08 |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘2’ (NO), DISPLAY MESSAGE: ‘USE CTRL/B |
| AND CORRECT DATE PERSON JOINED RU AT PREVIOUS |
| SCREEN.’ |
----------------------------------------------------
BOX_26A
=======
USED ELSEWHERE.
RE69
====
OMITTED.
RE70
====
OMITTED.
RE71
====
OMITTED.
RE72
====
OMITTED.
RE73 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Where (were/was) (PERSON) living when this household
participated in the National Health Interview Survey on
{MONTH, DAY, YEAR OF NHIS INTERVIEW}?
NOT YET BORN ............................ 1 {END_LP08}
INSTITUTIONALIZED ....................... 2 {RE73A}
STUDENT UNDER 24 LIVING AWAY AT
SCHOOL GRADES 1-12 ...... .......... 3 {END_LP08}
STUDENT UNDER 24 LIVING AWAY AT
POST-SECONDARY SCHOOL ................ 4 {RE73B}
ANOTHER HH - NOT FT MILITARY AT NHIS .... 5 {RE73B}
ANOTHER HH/MILITARY FACILITY - FT
MILITARY AT NHIS ...... .......... 6 (RE73C)
LIVING WITH THIS FAMILY - PERSON LEFT
OFF NHIS ROSTER .................... 7 {END_LP08}
OTHER .................................. 91
REF .................................... -7 {END_LP08}
DK ..................................... -8 {END_LP08}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE73OV ======
ENTER OTHER:
[Enter Other Specify] ................. {END_LP08}
REF ................................... -7 {END_LP08}
DK .................................... -8 {END_LP08}
RE73A =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
What type of institution (were/was) (PERSON) living in on
{MONTH, DAY, YEAR OF NHIS INTERVIEW}?
NURSING HOME ........................ 1 {RE74}
OTHER LONG-TERM HEALTH CARE
INSTITUTION (EXCLUDE COMMUNITY
BASED HOSPITAL) ................... 2 {RE74}
OTHER NON-HEALTH CARE INSTITUTION ... 3 {END_LP08}
REF ................................ -7 {RE74}
DK ................................. -8 {RE74}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE73B =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
(Were/Was) (PERSON) living within the U.S. or outside the U.S.
on {MONTH, DAY, YEAR OF NHIS INTERVIEW}?
WITHIN U.S. .......................... 1
OUTSIDE U.S. ......................... 2
REF ................................. -7
DK .................................. -8
PRESS F1 FOR DEFINITION OF LIVING WITHIN/OUTSIDE U.S.
----------------------------------------------------
| IF RE73 CODED ‘4’ (STUDENT UNDER 24 LIVING AWAY |
| AT POST-SECONDARY SCHOOL), GO TO RE75 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO END_LP08 |
----------------------------------------------------
RE73C =====
{PERSON’S FIRST MIDDLE AND LAST NAME}
(Were/Was) (PERSON) living in another household or in a military
facility on {MONTH, DAY, YEAR OF NHIS INTERVIEW}?
ANOTHER HOUSEHOLD ................... 1
MILITARY FACILITY ................... 2 {END_LP08}
REF ................................ -7
DK ................................. -8
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
RE73COV =======
Was that household within the U.S. or outside the U.S.?
WITHIN U.S. ......................... 1 {END_LP08}
OUTSIDE U.S. ........................ 2 {END_LP08}
REF ................................ -7 {END_LP08}
DK ................................. -8 {END_LP08}
[Code One]
RE74 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
Please give me the name and address of the nursing home or long
term care facility where (PERSON) (were/was) living at the time
of the National Health Interview Survey on {MONTH, DAY, YEAR OF
NHIS INTERVIEW}?
NAME (RE74_01): [_____________]
STREET ADDRESS1 (RE74_02): [_____________]
STREET ADDRESS2 (RE74_03): [_____________]
CITY (RE74_04): [_____________]
STATE (RE74_05): [_____________]
ZIP CODE (RE74_06): [_____________]
PRESS F1 FOR LIST OF STATE ABBREVIATIONS.
----------------------------------------------------
| CODES ‘-7’ (REFUSED) AND ‘-8’ (DON’T KNOW) ARE |
| ALLOWED ON EACH FORM ITEM. |
----------------------------------------------------
----------------------------------------------------
| GO TO END_LP08 |
----------------------------------------------------
RE75 ====
{PERSON’S FIRST MIDDLE AND LAST NAME}
At the time of the National Health Interview Survey on {MONTH,
DAY, YEAR OF NHIS INTERVIEW}, were either of (PERSON)’s
parents living in this household?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
END_LP08 ========
----------------------------------------------------
| CYCLE ON NEXT PERSON IN THE RU-MEMBERS-ROSTER |
| WHO MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO MORE PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_08 AND CONTINUE WITH BOX_27 |
----------------------------------------------------
BOX_27 ======
----------------------------------------------------
| CONTINUE WITH REENUMERATION-B (RE-B) SUBSECTION |
----------------------------------------------------