Download - NCVS Basic Screen Questionnaire 2008
-
OMB No. 1121-0111: Approval Expires 07/31/2009
FORM
Implementation Date: (01-01-2007)
U.S. DEPARTMENT OF COMMERCE
NATIONAL CRIME VICTIMIZATION SURVEY
10a.
1. Field representative identification
201Code Name
1 Unit in sample the previous enumeration period - Fill 3 Unit in sample first time this period - SKIP to 4 2
2. Unit status202
1 Same household interviewed the previous enumeration3. Household status - Mark first box that applies.
2032 Replacement household since the previous enumeration3
4
Noninterview the previous enumeration Other - Specify
4. Line number of household respondent____________ Go to page 2
Use of telephone
5. Group Quarters [GQ] type code____________
204
1 Owned or being bought
6. Tenure206 2 Rented
for cash3 No cash
rent
1 Urban7. Land Use
207 2 Rural
X Item blank8. Farm Sales
208 1 $1,000 or more 2 Less than $1,000
9. Type of living quarters Housing unit
12345
House, apartment, flatHU in nontransient hotel, motel, etc. HU permanent in transient hotel, motel, etc
209
Mobile home or trailer with one or more permanent rooms added
7
6
OTHER unitQuarters not HU in rooming or boarding house8Unit not permanent in transient hotel, motel, etc.9Unoccupied site for mobile home, trailer, or tent10Student quarters in college dormitory OTHER unit not specified above - Describe
1112
Phone in unit ...................12 Phone in common area (hallway, etc.) ....
Phone in another unit (neighbor, friend, etc.) Work/office phone ................ No phone - SKIP to 11a
345
10b. Is phone interview acceptable?
Fill 10b
210
1 Yes211 2 No 3 Refused to give number
11a. Number of housing units in structure 123
1 - SKIP to 11c 23
213
456
45-910+
7 Mobile home/trailer -SKIP to 11c
8 Only OTHER units
11b.
Restricted access
1 Yes 3 DK
12a. Household Income 214
89
10
20,000 - 24,99925,000 - 29,99930,000 - 34,999
13. Proxy information - Fill for all proxy interviews a. Proxy interview obtained for Line No.
b. Reason
c. Reason
301 303302
Name Line No.
304 306305
307 309308
310 312311
Codes for item 13c
14. Type Z noninterviewa. Interview not
obtained forLine No.
b. Proxy respondent
313
315
317
319
314
316
318
320
Complete 17-28 for each Line No. in 14a
Codes for item 14b
15a. Household members 12 years of age and OVER
____________ Total number321
15b. Household members UNDER 12 years of age
____________ Total number322 0 None
15d. Crime Incident Reports filled
____________ Total number of NCVS-2s filled323 0 None
Fill BOUNDING INFORMATION
NCVS
1
2 No Item blank
67
12345
Less than $5,000$5,000 - 7,4997,500 - 9,999
10,000 - 12,49912,500 - 14,999
12c. Public Housing 1 Yes (public
housing)219
12d. Manager Verification of Public Housing
Unable to verify12
Public housing Not public housing
220
34
TelephoneOther - Specify
NCVS-1 BASIC SCREEN QUESTIONNAIRE
12b. College/University 1 Yes 2 No
Able to verify
218
X
X Item blank No (not public housing)
2
b. Reason (Enter code) 16. Changes in Household Composition
a. Line No. 324
326
328
330
15,000 - 17,49917,500 - 19,999
11121314
35,000 - 39,99940,000 - 49,99950,000 - 74,99975,000 and over
325
327
329
331
Only enterchanges discoveredduring the currentenumeration
ACTING AS COLLECTING AGENT FOR THEBUREAU OF JUSTICE STATISTICS
U.S. DEPARTMENT OF JUSTICE
Control numberPSU Segment/Suffix
3- TA and won't return before closeout
American Indian Reservation or American Indian Lands
Yes1221 2 No
12e.
Economics and Statistics Administration U.S. CENSUS BUREAU
212
6-Office use only
3-Physically/ mentally unable to answer-no proxy available
4-TA and no proxy available ....
1-Never available
NCVS-1NOTICE - We are conducting this survey under the authority of Title 13, United States Code, Section 8. Section 9 of this law requires us to keep all information about you and your household strictly confidential. We may use this information only for statistical purposes. Also, Title 42, Section 3732,United States Code, authorizes the Bureau of Justice Statistics, Department of Justice, to collect information using this survey. Title 42, Sections 3789g and 3735, United States Code, also requires us to keep all information about you and your household strictly confidential. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless suchcollection displays a valid OMB number.
205
2-Refused ....
5-Other ......
Location of phone - Mark first box that applies.
1-12-13 years old and parent refused permission for self interview 2- Physically/mentally unable to answer
11c.222 Gated or walled community 1 Yes X Item blank2 No
Building with restricted access 1 Yes 2 No X Item blank
Direct outside access
USCENSUSBUREAU
223
Sample designation/Suffix
Serial/Suffix
15c. Number of Type Z noninterview household members 12 years of age and OVER
____________ Total number332 None0
HH No. SpinoffIndicator
HU in rooming houseMobile home or trailer with no permanent room added
HU not specified above - Describe
(Enter code)
(Enter code)
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RESPONDENT'S PERSONAL CHARACTERISTICS
17. Name of respondent
Last
First
Type of interviewLineNo.
401
1234
Per. - Self-respondentTel. - Self-respondentPer. - ProxyTel. - Proxy
18. 19.
Fill 13 on cover page ________Line No.
29. Date of interview 501
33a. If unsure, ASK OR VERIFY - How long have you lived at this address? (Enter 0 if less than 1 year.)
____________ Months (1-11) - SKIP to 33e 505
____________ Years (Round to nearest whole year) - 506
5 years or more - If HHLD Respondent SKIP to 34, else SKIP to 36a Less than 5 years - ASK 33e
CHECKITEM A
How many years are entered in 33a?
33e. Altogether, how many times have you moved in the last 5 years, that is, since _________________, 20 ___?
__________ Number of times - If HHLD Respondent ASK 34, else SKIP to 36a
508
Page 2
402
20.
Relationship toreferenceperson
21.
Age last Birthday
22a.
Marital status THIS survey period
22b.
Maritalstatus LASTsurvey period
23.
Sex
24.
Armed Forces Member
25.
Educational attainment
28.
Race
27.
Hispanic Origin
403
1
2
3
4
5
6
7
8
9
10
11
HusbandWifeSonDaughterFatherMotherBrotherSisterOther relativeNonrelativeRef. person
________
Age
405
12345
MarriedWidowedDivorcedSeparatedNevermarried
406
12345
MarriedWidowedDivorcedSeparatedNevermarriedNot inter-viewedlastsurveyperiod
6
407
12
MF
408
12
YesNo
413
12
YesNo
404
____________
Highest level completed
409 412
12
White
AmericanIndian/AlaskaNativeAsian
Other - Specify
4
6
26.
Attending School
411
2 College/Univer-sityTradeschoolVoca-tionalschool
5 None oftheaboveschools
3
4
(From previousenumeration)
Month Day Year
Regular school
1
MOBILITY QUESTIONS
BUSINESS OPERATED FROM SAMPLE ADDRESS
34. (Asked of Household Respondent Only) Does anyone in this household operate a business from this address?
35. (Asked of Household Respondent Only) Is there a sign on the premises or some other indication to the general public that a business is operated from this address?
PERSONAL - Fill by observation. TELEPHONE - Ask.
1
2
Yes - ASK 35
No - SKIP to 36a
530
1
2
Yes (Recognizable business)No (Unrecognizable business)
531
Before we get to the crime questions, I have some questions that are helpful in studying where and why crimes occur.
Black/AfricanAmerican
NativeHawaiian/OtherPacific Islander
5
3
*
Mark all thatapply.
33b. How many months?
If = 0 ASK 33b If = DK or RF SKIP to 33c Else SKIP to 33d
33c.
Have you lived here... Read appropriate categories:
1234
More than 5 years - If HHLD Respondent SKIP to 34, else SKIP to 36a.
Less than 5 years, but more than 1 year
Less than 1 year, but mroe than 6 months6 months or lessDon't Know5
SKIP to 33e
Enter number of times.
33d.
-
RESPONDENT'S SCREEN QUESTIONS
36a. I'm going to read some examples that will give you an
idea of the kinds of crimes this study covers.
Page 3
Was something belonging to YOU stolen, such as - (a) Things that you carry, like luggage, a wallet,
purse, briefcase, book -
As I go through them, tell me if any of these happened to you in the last 6 months, that is since __________ ______, 20 ____.
(b) Clothing, jewelry, or cellphone - (c) Bicycle or sports equipment -(d) Things in your home - like a TV, stereo, or tools - (e) Things outside your home such as a garden hose or furniture - (Asked of Household Respondent only)(f) Things belonging to children in the household - (Asked of Household Respondent only) (g) Things from a vehicle, such as a package, groceries, camera, or CDs -
(h) Did anyone ATTEMPT to steal anythingbelonging to you?
OR
Did any incidents of this type happen to you?
ASK only if necessary
36b. How many times?
37a. (Asked of Household Respondent Only) (Other than any incidents already mentioned,) has anyone -
(a) Broken in or ATTEMPTED to break into yourhome by forcing a door or window, pushing past someone, jimmying a lock, cutting a screen, or entering through an open door or window?
(c) Illegally gotten in or tried to get into a hotel ormotel room or vacation home where you were staying?
(b) Has anyone illegally gotten in or tried to get
into a garage, shed, or storage room? OR
Did any incidents of this type happen to you? ASK only if necessary
37b. (Asked of Household Respondent Only) How many times?
Briefly describe incident(s)
1
Yes - ASK 37b
532
If Household Respondent ASK 37a; else SKIP to 40a
533
No - SKIP to 38
2
Briefly describe incident(s)
1534
Number of times (37b)
535
2
Yes - ASK 36b
No - If Household Respondent SKIP to 37a; else SKIP to 40a
36c.
37c. (Asked of Household Respondent Only)
Read each category.
What happened?
What happened?
Number of times (36b)
-
RESPONDENT'S SCREEN QUESTIONS
39a. (Asked of Household Respondent Only)
38. (Asked of Household Respondent Only)
What was the TOTAL number of cars, vans, trucks, motorcycles, or other motor vehicles owned by you or any other member of this household during the last 6 months? Include those you no longer own.
During the last 6 months, (other than any incidents already mentioned,) (was the vehicle/were any of the vehicles) -
Page 4
(a) Stolen or used without permission?
(Other than any incidents already mentioned,) since __________ ______, 20 ____, were you attacked or threatened OR did you have something stolen from you -
(b) Did anyone steal any parts such as a tire, carstereo, hubcap, or battery?
(c) Did anyone steal any gas from (it/them)?
(d) Did anyone ATTEMPT to steal any vehicle or partsattached to (it/them)?
OR
Did any incidents of this type happen to you?
Ask only if necessary
39b. (Asked of Household Respondent Only) How many times?
40a.
(a) At home including the porch or yard -
(c) At work or school -
(b) At or near a friend's, relative's, orneighbor's home -
OR
Did any incidents of this type happen to you?
Ask only if necessary
40b. How many times?
01234
None - SKIP to 40a 1234 or more
536
Briefly describe incident(s)
1 Yes - ASK 39b537
Number of times (39b)
538
No - SKIP to 40a 2
Number of times (40b)
540
(d) In places such as a storage shed or laundryroom, a shopping mall, restaurant, bank, or airport -
(e) While riding in any vehicle - (f) On the street or in a parking lot - (g) At such places as a party, theater, gym,
picnic area, bowling lanes, or while fishing or hunting -
Briefly describe incident(s)
(h) Did anyone ATTEMPT to attack or ATTEMPTto steal anything belonging to you from any of these places?
39c. (Asked of Household Respondent Only)
No - SKIP to 41a 2
Yes - ASK 40b1539
40c.
What happened?
What happened?
-
RESPONDENT'S SCREEN QUESTIONS
Page 5
(Other than any incidents already mentioned,) has anyone attacked or threatened you in any of these ways (Exclude telephone threats) -
41a.
(a) With any weapon, for instance, a gun orknife -
(c) By something thrown, such as a rock orbottle -
(b) With anything like a baseball bat, fryingpan, scissors, or stick -
OR
Did any incidents of this type happen to you?
ASK only if necessary
41b. How many times?
Briefly describe incident(s)
1 Yes - ASK 41b541
Number of times (41b)
542
No - SKIP to 42a 2
(d) Include any grabbing, punching, or choking, (e) Any rape, attempted rape or other type of sexual attack -(f) Any face to face threats -
(g) Any attack or threat or use of force by anyoneat all? Please mention it even if you are not certain it was a crime.
People often don't think of incidents committed by someone they know. (Other than any incidents already mentioned,) did you have something stolen from you ORwere you attacked or threatened by (Exclude telephone threats) -
42a.
(a) Someone at work or school -(b) A relative or family member - (c) A neighbor or friend -
Did any incidents of this type happen to you? ASK only if necessary
42b. How many times?
Briefly describe incident(s)
1 Yes - ASK 42b543
Number of times (42b)
544
No - SKIP to 43a 2
(d) Any other person you've met or known?
Incidents involving forced or unwanted sexual acts are often difficult to talk about. (Other than any incidents already mentioned,) have you been forced or coerced to engage in unwanted sexual activity by -
43a.
(a) Someone you didn't know before -
(c) Someone you know well?
(b) A casual acquaintance -
Did any incidents of this type happen to you?
ASK only if necessary
43b. How many times?
Briefly describe incident(s)
1 Yes - ASK 43b545
Number of times (43b)
546
No - SKIP to 44a 2
OR
41c.
42c.
43c.
What happened?
What happened?
What happened?
-
RESPONDENT'S SCREEN QUESTIONS
Page 6
During the last 6 months, (other than any incidents already mentioned,) did you call the police to report something that happened to YOU which you thought was a crime?
44a.
Briefly describe incident(s)
1 Yes - ASK 44b547
No - SKIP to 45a 2
44d. How many times?
CHECKITEM B
Were you (was the respondent) attacked or threatened, or was something stolen or an attempt made to steal something that belonged to you (the respondent) or another household member?
1
2Yes - ASK 44d
No - SKIP to 45a
549
Number of times (44d)
550
During the last 6 months, (other than any incidents already mentioned,) did anything which you thought was a crime happen to YOU, but you did NOT report to the police?
45a.
Briefly describe incident(s)
1 Yes - ASK 45b551
No - If Household Respondent ASK 60, else SKIP to 71
2
45d. How many times?
CHECKITEM C
Were you (was the respondent) attacked or threatened, or was something stolen or an attempt made to steal something that belonged to you (the respondent) or another household member?
1
2
Yes - ASK 45d 553
NOTES
554
Number of times (45d) If Household Respondent SKIP to 60, else SKIP to 71
44b.
45b.
If not sure ask:
If not sure ask:
What happened?
What happened?
44c.
45c.
No - If Household Respondent SKIP to 60, else SKIP to 71
-
Page 7
60.
1
23
4
Motor vehicle (including parts)Bicycle (including parts)MailboxHouse window/screen/doorYard or garden (trees, shrubs, fence, etc.) Furniture, other household goodsClothingAnimal (pet, livestock, etc.)
558
Now I'd like to ask about ALL acts of vandalism that may have been committed during the last 6 months against YOUR household. Vandalism is the deliberate, intentional damage to or destruction of household property. Examples are breaking windows, slashing tires, and painting graffiti on walls.
61a.
What kind of property was damaged or destroyed in this/these act(s) of vandalism? Probe: Anything else?
Since __________ ______, 20 ____, has anyone intentionally damaged or destroyed property owned by you or someone else in your household?
12
Yes - ASK 61a557
Other - Specify - ASK 61b
*
Enter all that apply for property that was damaged or destroyed by vandalism during reference period.
(EXCLUDE any damage done in conjunction with incidents already mentioned. )
No - SKIP to 71
61b.
Please specify the kind of property damaged or destroyed in this/these act(s) of vandalism.
Specify
SKIP to 62a 5
6
7
89
HOUSEHOLD RESPONDENT'S VANDALISM QUESTIONS (Asked of Household Respondent Only)
1 Broken glass: window, windshield, glass in door, mirror
55962a.
What kind of damage was done in this/these act(s) of vandalism? Probe: Anything Else?
Defaced: marred, graffiti, dirtied Burned: use of fire, heat or explosives Drove into or ran over with vehicleOther breaking or tearingInjured or killed animalsOther - Specify - ASK 62b
*
63a.
What was the total dollar amount of the damage caused by this/these act(s) of vandalism during the last 6 months? (Use repair costs if the property was repaired.)
560 $ .- SKIP to 64a
0 No cost - SKIP to 64a (If DK or RF are entered, ASK 63b)
63b. 123
Under $100$100 or moreDon't know
561
If unsure, ASK, In the vandalism just mentioned, were you (was the respondent) attacked or threatened, or was something stolen or an attempt made to steal something that belonged to you (the respondent) or another household member? (other than any incident(s) already mentioned)
Briefly describe incident(s)
1 Yes - ASK 64b562
No - SKIP to 65 2
Number of times (64b)
563
CHECKITEM F1
00
Enter all that apply for property that was damaged or destroyed by vandalism during the reference period.
62b.
Please specify the kind of damage done in this/these act(s) of vandalism.
(INCLUDE total amount for all incidents of vandalism during the last 6 mon.ths.)
(EXCLUDE any damage done in incidents already mentioned.)
Was the damage under $100 or $100 or more?
64b.
How many times?
What happened?
64c.
SKIP to 63a
Specify
2
34
5
67
64a.
-
Page 8
CHECKITEM F2 Are one or more boxes marked "Yes" in 66a - 66f
OR 67a or 67c?
Yes - ASK 69a
No - SKIP to 71
65.
Yes1 2 No
No
587
3 Don't know
3 Don't know
HOUSEHOLD RESPONDENT'S HATE CRIME SCREEN QUESTIONS (Asked of the Household Respondent Only)
Hate crimes or crimes of prejudice or bigotry occur when (an offender/offenders) target(s) people because of one or more of their characteristics or religious beliefs.
Do you have any reason to suspect the vandalism just discussed was a hate crime or crime of prejudice or bigotry?
Yes - ASK 66a No
Don't know
123
586
66.
An offender/Offenders can target people for a variety of reasons, but we are only going to ask you about a few today. Do you suspect the offender(s) targeted you because of...
If "Yes," SAY - (by this we mean homosexual, bisexual, or heterosexual)
Yes1 2 No 3 Don't know
Yes1 2 No 3 Don't know
Yes 2 No 3 Don't know
Yes1 2 No 3 Don't know
Yes1 2 No 3 Don't know
564
565
566
567
568
569
67a.
Some offenders target people because they associate with certain people or the (offender perceives/offenders perceive) them as having certain characteristics or religious beliefs.
Do you suspect you were targeted because of...
Your association with people who have certain characteristics or religious beliefs (for example, a multiracial couple)?
67b.
67c. The offender(s)'s perception of your characteristics or religious beliefs (for example, the offender(s) thought you were Jewish because you went into a synagogue)?
Yes - ASK 67b
No
589
3 Don't know
Yes - ASK 67d
69a.
Do you have any evidence that this vandalism was a hate crime or crime of prejudice or bigotry?
ASK 69b
123
591
Did the offender(s) say something, write anything, or leave anything behind at the crime scene that would suggest you were targeted because of your characteristics or religious beliefs?
SKIP to 71
Yes - SKIP to 70a No
Don't know
588
590
(a) Your race?
(b) Your religion?
(c) Your ethnic background or national origin (for example, people of Hispanic origin)? ........
(d) Any disability (by this I mean physical, mental, or developmental disabilities) you may have? ....
(e) Your gender?
(f) Your sexual orientation?
Please specify why the respondent suspects they were targeted because of their association with people who have certain characteristics or religious beliefs.
2
1
2
1
67d. Please specify why the respondent suspects they were targeted because of the offender(s)'s perception of their characteristics or religious beliefs.
69b.
1
2
Yes - ASK 70a
No - SKIP to 71
SKIP to 67c
SKIP to 68
1
68.
-
Page 9
CHECK ITEM G
Is one or more crimes reported in 36b, 37b, 39b, 40b, 41b, 42b, 43b, 44d, 45d, or 64b?
Yes - SKIP to CRIME INCIDENT Report (INCIDENTINTRO)
HOUSEHOLD RESPONDENT'S HATE CRIME SCREEN QUESTIONS (Asked of Household Respondent Only)
70.
The next questions ask about the evidence you have that makes you suspect this vandalism was a hate crime or a crime of prejudice or bigotry. As I read the following questions, please tell me if any of the following happened:
Did the offender(s) make fun of you, make negative comments, use slang, hurtful words, or abusive language?
(b) Were any hate symbols present at the crime scene to indicate the offender(s) targeted you for a particular reason (for example, a swastika, graffiti on the walls of a temple, a burning cross, or written words)?
(c)
Did a police investigation confirm the offender(s) targeted you (for example, did the offender(s) confess a motive, or did the police find books, journals, or pictures that indicated the offender(s) (was/were) prejudiced against people with certain characteristics or religious beliefs)?
(d)
Do you know if the offender(s) (has/have) committed similar hate crimes or crimes of prejudice or bigotry in the past?
(e) Did the vandalism occur on or near a holiday, event, location, gathering place, or building commonly associated with a specific group (for example, at the Gay Pride March or at a synagogue, Korean church, or gay bar)?
(f) Have other hate crimes or crimes of prejudice or bigotry happened to you or in your area/ neighborhood where people have been targeted?
(g)
Do your feelings, instincts, or perception lead you to suspect this vandalism was a hate crime or crime of prejudice or bigotry, but you do not have enough evidence to know for sure?
Yes1 2 No 3 Don't know592
Yes1 2 No 3 Don't know593
Yes1 2 No 3 Don't know594
Yes1 2 No 3 Don't know595
Yes1 2 No 3 Don't know596
Yes1 2 No 3 Don't know597
Yes1 2 No 3 Don't know598
11 Telephone interview - SKIP to 73. Personal interview - Mark all that apply.
555
No one besides respondent present Respondent's spouse
HHLD member(s) 12+, not spouse HHLD member(s) under 12
Nonhousehold member(s) Someone was present - Can't say who Don't know if someone else present
Who besides the respondent was present when the screen questions were asked? (If telephone interview, mark box 1 only or box 11 only.)
*
CHECKITEM D
123
Yes No Person for whom interview taken not present
556Did the person for whom this interview was taken help the proxy respondent answer any screen questions?
CHECKITEM E
(a)
RESPONDENT'S CHECK ITEMS D, E, AND G
12
13
14
15
16
17
18
71.
72.
73.
If a Proxy interview, ASK 72, else SKIP to 73.
No - SKIP to 74
-
Page 10
11 Physician?Nurse?Technician?
Other Medical Profession? - Specify - ASK 76d
579
Did you have a job or work at a business LAST WEEK? (Do not include volunteer work or work around the house.)
75a. 576 1
2Yes - SKIP to 76a No - ASK 75b
Did you have a job or work at a business DURING THE LAST 6 MONTHS?
75b.
Ask OR Verify -
577
578 12
12
Yes - ASK 75c
No - SKIP to 80
Yes - ASK 76a
No - SKIP to 80 Did that (job/work) last 2 consecutive weeks or more?
75c.
76a.
Ask OR Verify -
Medical Profession
Mental Health Services Field
Teaching Profession
Law Enforcement or Security Field
15 Professional (Social worker/psychiatrist)? Custodial care?
Some other Mental Health Services Profession? - Specify - ASK 76f
18 Preschool?
Elementary?Junior high or middle school?High school?College or university?
Technical or industrial school?Special education facility?
Specify - SKIP to 77
Law enforcement officer?Prison or jail guard?Security guard?Law enforcement profession? Specify - ASK 76j
26
27
28
29
(If farm or business operator in household, ask about unpaid work.)
Which of the following best describes your job? Were you employed in the... Read each category until respondent says "yes", then enter appropriate precode.
CHECKITEM H Is the respondent 16 years or older?
12
Yes - ASK 75a
No - SKIP to 80
RESPONDENT'S EMPLOYMENT QUESTIONSAll incident reports must be completed before asking this series of questions.
Medical Profession? - SKIP 76c
Mental Health Services Field? - SKIP to 76e
Teaching Profession? - SKIPto 76g
Law Enforcement or Security Field? - SKIP to 76i
Retail Sales? - SKIPto 76k
Something else? - Specify - ASK 76b
Please specify the job not covered in answer categories 11-16 in 76a.Specify -SKIP to 77
11
12
13
14
15
16
Specify - SKIP to 77
Employed in the Medical Profession: As a -- .
Read each category
Employed in the Mental Health Services Field:
Please specify employed in the medical profession as a -
Are YOUR duties - Read each category.
Please specify duties in the mental health services field.
Specify - SKIP to 77
Employed in the Teaching Profession:
WERE YOU employed in a -
Read each category.
Please specify employed in the teaching profession as a -
76h.
76i.
Employed in the Law Enforcement or Security Field:
WERE YOU employed as a -
Read each category.
Specify - SKIP to 7776j. Please specify employed in the law enforcement or security field as a -
17
Transportation Field? - SKIP to 76m
- SKIP to 77
- SKIP to 77
Other teaching profession? - Specify - ASK 76h
- SKIP to 77
- SKIP to 77
74.
76b.
76c.
12
13
14
76d.
76e.
16
17
76f.
76g.
19
20
21
22
23
24
25
-
Page 11
RESPONDENT'S EMPLOYMENT QUESTIONS CONTINUED
CHECKITEM I
Is this the last household member to be interviewed? Yes - If Household Respondent finish collecting income and telephone information, then END interview. Otherwise end
interview.
No - GO TO question 33a for the next respondent. See note below before interviewing next household member.
Is your job with - Read each category.
77.
Ask OR Verify -
1 A private company, business, or individual for wages?5802
3
4
The Federal government? A State, county, or local government?
While working at your job, do you work mostly in -- Read each category.
79. 1234
A city?Suburban area?
Rural area?Combination of any of these?
582
78. 581 12
YesNoAre you employed by a college or university?
Retail Sales -
Transportation Field -
Convenience or liquor store clerk? Gas station attendant?
Bartender?Other retail sales profession? Specify - ASK 76l
30
31
32
33
Bus driver?Taxi cab driver?Other transportation FIeld profession? Specify - ASK 76n
34
35
36
76k. Employed in Retail Sales:
WERE YOU employed as a -
Read each category.
Specify - SKIP to 77 76l.
Please specify employed in retail sales as a -
76m.
Employed in the Transportation Field:
WERE YOU employed as a -
Read each category.
76n. Specify
Please specify employed in the transportation field as a -
- SKIP to 77
- SKIP to 77
Yourself (Self-employed) in your own business, professional practice, or farm?
80.
FIELD REPRESENTATIVE --
(Read to the Household Respondent Only.) If there are any household members under 18, tell the Household Respondent that you will be asking the same questions you just asked him/her.
If TEACHINGJOB = 22 SKIP to 79, else ASK 78.