Not Assigned Recontact

2007 Q1 NHIS Instrument Spec Report

Section name: Recontact Section

Module 21

Section Name Recontact Section

Part

Question ID REC.010

Variable Name RCI_BEGIN

Universe All cases with RCIFLAG ne 1

Universe-text

Question Text

Answer Codes

Question Type Check Item

Field Pane Description

Fill Instructions

Special Instructions begin table for the following screens (NAMVER_F, NAMVER_M, NAMVER_L, PROXY,

NCNAM, NCNAME, MAIDNAM, FATHNAM, SSN, SSNREP, SSNPROXY) for each

member in the family.

Skip Instructions For the first (or next) person in the household roster

if NAME_FNAME or NAME_LNAME (Coverage Sections) = Refused, Don't know, GOTO

NAMVER_F

elseif AGE < 17 and HHSTAT4 ne E, store Not Applicable (0) in PROXY, GOTO NCNAM

else, GOTO PROXY

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Module 21

Section Name Recontact Section

Part

Question ID REC.020_1

Variable Name NAMVER_F

Universe RCI_BEGIN: NAME_FNAME or NAME_LNAME(Coverage Section) = D or R

Universe-text

Question Text * Verify or ask if name is missing, refused or not known.

First name of [fill ALIAS] is :

Answer Codes

Question Type Text

Field Pane Description First Name

Fill Instructions

Special Instructions Prefill the field pane with NAME_FNAME

Skip Instructions <allow 20, Refused, Don't know> GOTO NAMVER_M

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Module 21

Section Name Recontact Section

Part

Question ID REC.020_2

Variable Name NAMVER_M

Universe All from NAMVER_F

Universe-text

Question Text * If there is no middle initial, press 'ENTER' .

Middle initial of [fill ALIAS] :

Answer Codes

Question Type Text

Field Pane Description Middle Initial

Fill Instructions

Special Instructions Prefill the field pane with NAME_MNAME

Skip Instructions <allow 20, Refused, Don't know, empty> GOTO NAMVER_L

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Module 21

Section Name Recontact Section

Part

Question ID REC.020_3

Variable Name NAMVER_L

Universe All from NAMVER_M

Universe-text

Question Text Last name of [fill ALIAS] :

Answer Codes

Question Type Text

Field Pane Description Last Name

Fill Instructions

Special Instructions Prefill the field pane with NAME_LNAME

Make FULLNAME from NAMVER_F < > NAMVER_L

store NAMVER_F in NAME_FNAME, NAMVER_M in NAME_MNAME and NAMVER_L in

NAME_LNAME

If NAMVER_F and NAMVER_L ne R or D then store FULLNAME in ALIAS

Skip Instructions <allow 20, Refused, Don't know>

If AGE < 17 and HHSTAT4 ne E then store Not Applicable (0) in PROXY and GOTO NCNAM

else GOTO PROXY

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Module 21

Section Name Recontact Section

Part

Question ID REC.030

Variable Name PROXY

Universe All persons with (AGE >= 17 or HHSTAT4 = Emancipated Minor (E))

Universe-text

Question Text * Mark first category that applies for [fill ALIAS].

Answer Codes 0. Not Applicable

1. Present for all questions

2. Present for some questions

3. Not present

Question Type Pick One - answer list pane

Field Pane Description Proxy

Fill Instructions

Special Instructions Do not allow a Don't Know or Refused

Don't display 0. Not Applicable

Skip Instructions <1-3> GOTO NCNAM

<0> GOTO ERR_PROXY

Hard Edits * This is an invalid selection for this person.

* Please correct.

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Module 21

Section Name Recontact Section

Part

Question ID REC.040

Variable Name NCNAM

Universe All persons

Universe-text

Question Text Does [fill ALIAS] usually go by another first name?

Answer Codes 1. Yes

2. No

Refused

Don't know

Question Type Yes/No

Field Pane Description Common Name

Fill Instructions

Special Instructions

Skip Instructions <1> GOTO NCNAME

<2, Refused, Don't know> If SEX = Male (1)

or

SEX = Female (2) and (MARITAL = Never Married (5) or AGE < 14)

or

SEX = Female (2) and MARITAL = Living with a partner (6) and COHAB1 ne Yes (1), GOTO

FATHNAM

else, GOTO MAIDNAM

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Module 21

Section Name Recontact Section

Part

Question ID REC.050

Variable Name NCNAME

Universe NCNAM = Yes (1)

Universe-text

Question Text What is this other first name?

Answer Codes

Question Type Text

Field Pane Description Other Name

Fill Instructions

Special Instructions

Skip Instructions <allow 20, Refused, Don't know>

if SEX = Male (1)

or

SEX = Female (2) and (MARITAL = Never married (5) or AGE < 14)

or

SEX = Female (2) and MARITAL = Living with a partner (6) and COHAB1 ne Yes (1), GOTO

FATHNAM

else, GOTO MAIDNAM

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Module 21

Section Name Recontact Section

Part

Question ID REC.060

Variable Name MAIDNAM

Universe NCNAM = Yes (1), No (2), Refused, Don't know and SEX= Female (2) and AGE ge 014 and

(MARITAL = Married (1), Widowed (2), Divorced (3), Separated (4), Refused, Don't know) or

(MARITAL= Living with partner (6) and COHAB1= Yes (1)))

Universe-text

Question Text What is [fill ALIAS] s maiden name?

Answer Codes

Question Type Text

Field Pane Description Maiden Name

Fill Instructions

Special Instructions

Skip Instructions <allow 20, Refused, Don't know> goto RCI_BEGIN for next household person. If no more

persons exist, goto RECINTRO.

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Module 21

Section Name Recontact Section

Part

Question ID REC.070

Variable Name FATHNAM

Universe NCNAM = Yes (1), No (2), Refused, Don't know and (SEX= Male (1) or (SEX= Female (2) and

((AGE < 014 or MARITAL= Never married (5)) or (MARITAL= Living with partner (6) and COHAB1

ne Yes (1)))))

Universe-text

Question Text What is [fill ALIAS] 's FATHER'S last name?

* If the last name is the same as below, press 'ENTER'.

Answer Codes

Question Type Text

Field Pane Description Father's Name

Fill Instructions

Special Instructions Prefill the field pane with NAME_LNAME

Skip Instructions <allow 20, Refused, Don't know> goto RCI_BEGIN for next household person. If no more

persons exist, goto RECINTRO.

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Module 21

Section Name Recontact Section

Part

Question ID REC.110

Variable Name RECINTRO

Universe all cases

Universe-text

Question Text The United States Public Health Service may wish to contact [fill1:] again to obtain additional

health related information.

Answer Codes 1. Continue

Question Type Enter 1 to Continue

Field Pane Description

Fill Instructions [fill1:] If single person family fill "you", else fill "your family"

Special Instructions Don't allow "Refused" or "Don't know" as answers.

Skip Instructions If TELENUM = N

goto MOVE

If TELENUM = Refused or Don't know

goto TELECHG

Else

goto TELECHK

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Module 21

Section Name Recontact Section

Part

Question ID REC.120

Variable Name TELECHK

Universe TELENUM ne N, Don't know, Refused

Universe-text

Question Text Earlier I recorded the telephone number as [fill: TELENUM]. Is this [fill2:] telephone number?

Answer Codes 1. Yes

2. No

Refused

Don't Know

Question Type Yes/No

Field Pane Description Telephone # correct

Fill Instructions [fill2:] If single person family fill "your", else fill "your family's"

Special Instructions Use standard telephone field format <( ) - > in [fill TELENUM]

Skip Instructions <1> [goto TELST]

<2> [goto TELECHG]

<R,D> [goto MOVE]

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Module 21

Section Name Recontact Section

Part

Question ID REC.130

Variable Name TELECHG

Universe TELECHK = No (2)

or

TELENUM = Refused or Don't know

Universe-text

Question Text What is [fill1:] telephone number?

Answer Codes

Question Type Integer

Field Pane Description Telephone # change

Fill Instructions [fill1:] If single person family fill "your", else fill "your family's"

Special Instructions Use standard telephone field format <( ) - >

Skip Instructions <2000000000-9999999996> [goto TELST]

< R,D> [goto MOVE]

<0-1999999999> goto ERR_TELECHG

Hard Edits ERR_TELECHG

* Invalid telephone number.

* Please correct.

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Module 21

Section Name REC

Part

Question ID REC.140

Variable Name TELST

Universe TELECHG=<2000000000-9999999996> or TELECHK=1

Universe-text

Question Text How is this phone number listed in the telephone directory? (What is the relationship of the

person listed in the telephone directory to [fill name of HHREF or FAMREF]?

* Specify name, relationship and / or other verbatim response.

Answer Codes

Question Type Text

Field Pane Description Listing

Fill Instructions

Special Instructions

Skip Instructions <Allow 260, Refused, Don't know> [goto MOVE]

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Module 21

Section Name Recontact Section

Part

Question ID REC.150

Variable Name MOVE

Universe All families

Universe-text

Question Text [fill 1] expect to move anytime in the next year?

Answer Codes 1. Yes

2. No

Refused

Don't know

Question Type Yes/No

Field Pane Description Move

Fill Instructions If single person family:

fill 1 = "Do you "

else

fill 1 = "Does your family "

Special Instructions

Skip Instructions <1> GOTO MVTIME_M

<2, Refused, Don't know> GOTO CPNAME11

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Module 21

Section Name Recontact Section

Part 1 of 2

Question ID REC.160_1

Variable Name MVTIME_M

Universe MOVE = Yes (1)

Universe-text

Question Text 1 of 2

Approximately when do you think that will happen?

* Enter month

Answer Codes 01. January

02. February

03. March

04. April

05. May

06. June

07. July

08. August

09. September

10. October

11. November

12. December

Question Type Pick One - popup window

Field Pane Description Month

Fill Instructions

Special Instructions

Skip Instructions <01-12, Refused, Don't know> GOTO MVTIME_Y

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Module 21

Section Name Recontact Section

Part 2 of 2

Question ID REC.160_2

Variable Name MVTIME_Y

Universe All from MVTIME_M

Universe-text Month expected to move

Question Text 2 of 2

* Probe for year

Answer Codes

Question Type Integer

Field Pane Description Year

Fill Instructions

Special Instructions

Skip Instructions <current year, current year + 1, Refused, Don't know>

If MVTIME_Y < current year or (MVTIME_Y = current year and MVTIME_M < current month),

GOTO ERR_MVTIME

else GOTO MVINFO

Hard Edits ERR_MVTIME

* Move date is not in an acceptable range. [fill: MVTIME_M, MVTIME_Y]

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Module 21

Section Name Recontact Section

Part

Question ID REC.170

Variable Name MVINFO

Universe All from MVTIME_Y

Universe-text Year expected to move

Question Text Where do you expect to move?

* Probe for as much detail as respondent can provide -- location, specific address if possible

(street address, apt#, city, state, zip).

Answer Codes

Question Type Text

Field Pane Description Move info

Fill Instructions

Special Instructions

Skip Instructions <Allow 260, Refused, Don't know> GOTO CPNAME11

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_01

Variable Name CPNAME11

Universe All from MVINFO

or

MOVE = No (2), D, R

Universe-text

Question Text Please give me the name, address, and telephone number of the first relative or friend who

would also know where [fill 1] could be reached, in case we have trouble reaching you.

Please give me the names of persons not currently living in the household.

* Enter First contact person's first name.

Answer Codes

Question Type Text

Field Pane Description First person's first name

Fill Instructions fill 1: If single person family fill "you", else fill "your family"

Special Instructions

Skip Instructions <allow 20> GOTO CPNAME12

<Refused, Don't know> GOTO CPNAME12

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_02

Variable Name CPNAME12

Universe All from CPNAME11

Universe-text

Question Text What is [fill CPNAME11] 's middle initial?

Answer Codes

Question Type Text

Field Pane Description First person's middle initial

Fill Instructions

Special Instructions

Skip Instructions <allow 20, Refused, Don't know> Go to CPNAME13

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_03

Variable Name CPNAME13

Universe All from CPNAME12

Universe-text

Question Text What is [CPNAME11]'s last name?

Answer Codes

Question Type Text

Field Pane Description First person's last name

Fill Instructions

Special Instructions If CPNAME11 ne R or D, make TEMP by concatenating CPNAME11 [space] CPNAME13

together.

Else, set TEMP = CPNAME13.

Skip Instructions <allow 20> Go to CP1ADDR1

<Refused, Don't know> Go to CINFO

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_04

Variable Name CP1ADDR1

Universe CPNAME13 ne D, R

Universe-text

Question Text What is [fill TEMP]'s address?

* Read if necessary.

If there is more than one address, please give us the address used most often.

* Enter address - first line

Answer Codes

Question Type Text

Field Pane Description Address 1

Fill Instructions

Special Instructions

Skip Instructions <Allow 54, Refused, Don't know> GOTO CP1ADDR2

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_05

Variable Name CP1ADDR2

Universe All from CP1ADDR1

Universe-text

Question Text * Enter address second line or press 'Enter' to continue.

Answer Codes

Question Type Text

Field Pane Description Address 2

Fill Instructions

Special Instructions

Skip Instructions <Allow 54, empty, Refused, Don't know> GOTO CP1ADDR3

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_06

Variable Name CP1ADDR3

Universe All from CP1ADDR2

Universe-text

Question Text What is [fill TEMP]'s city?

Answer Codes

Question Type Text

Field Pane Description City

Fill Instructions

Special Instructions

Skip Instructions <Allow 20, Refused, Don't know> GOTO CP1ADDR4

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_07

Variable Name CP1ADDR4

Universe All from CP1ADDR3

Universe-text

Question Text What is [fill TEMP]'s state?

Answer Codes

Question Type Text

Field Pane Description State

Fill Instructions

Special Instructions Allow Don't know or Refused

Skip Instructions <allow 2> GOTO CP1ADDR5

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_08

Variable Name CP1ADDR5

Universe All from CP1ADDR4

Universe-text

Question Text What is [fill TEMP]'s zip code?

Answer Codes

Question Type Integer

Field Pane Description Zip code

Fill Instructions

Special Instructions

Skip Instructions <01000-99996, Refused, Don't know> GOTO CP1TELN1

<0-999> GOTO ERR_CP1ADDR5

Hard Edits ERR_CP1ADDR5

* The entire zip code must be entered.

* Please correct.

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_09

Variable Name CP1TELN1

Universe All from CP1ADDR5

Universe-text

Question Text What is [fill TEMP]'s phone number, beginning with the area code?

* Enter the area code and the number or enter 'N' if no phone.

Answer Codes

Question Type Integer

Field Pane Description Phone #

Fill Instructions

Special Instructions Use standard telephone field format <( ) - >

Skip Instructions <2000000000-9999999996> GOTO CP1TELN2

<0-1999999999> GOTO ERR_CP1TELN1

<N, Refused, Don't know> GOTO CP1REL

Hard Edits ERR_CP1TELN1

* The entire phone number must be entered.

* Please correct.

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Module 21

Section Name Recontact Section

Part

Question ID REC.180_10

Variable Name CP1TELN2

Universe CP1TELN1 ne N, R, D

Universe-text

Question Text What is [fill TEMP]'s extension?.

* If no extension exists, press 'ENTER'.

Answer Codes

Question Type Integer

Field Pane Description Extention

Fill Instructions

Special Instructions

Skip Instructions <0000-9996, empty, Refused, Don't know> GOTO CP1REL

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Module 21

Section Name Recontact Section

Part

Question ID REC.190_10

Variable Name CP1REL

Universe CP1TELN1 = N, R, D

or

All from CP1TELN2

Universe-text

Question Text What is the relationship of this contact person to [fill ALIAS[HHREF_B]]?

Answer Codes 1. Spouse (Husband or wife)/ex-spouse not living in HH

2. Unmarried partner not living in HH

3. Child

4. Grandchild

5. Parent (Mother or Father)

6. Brother or sister

7. Grandparent

8. Other relative

9. Legal guardian

10. Friend

11. Co-worker

12. Neighbor

13. Other

Question Type Pick One - answer list pane

Field Pane Description Relationship

Fill Instructions

Special Instructions

Skip Instructions <1-13, Refused, Don't know> GOTO CPNAME21

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_1

Variable Name CPNAME21

Universe All from CP1REL

Universe-text

Question Text Please give me the name, address, and telephone number of the second relative or friend who

would also know where [fill 1] could be reached, in case we have trouble reaching you.

Again, this should be someone who is not currently living in the household.

* Enter Second contact person's first name.

Answer Codes

Question Type Text

Field Pane Description Second person's first name

Fill Instructions fill 1: If single person family fill "you", else fill "your family"

Special Instructions

Skip Instructions <Allow 20, Refused, Don't know> GOTO CPNAME22

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_2

Variable Name CPNAME22

Universe All from CPNAME21

Universe-text

Question Text What is [fill CPNAME21] 's middle initial?

Answer Codes

Question Type Text

Field Pane Description Second person's middle initial

Fill Instructions

Special Instructions

Skip Instructions <allow 20, Refused, Don't know> GO TO CPNAME23

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_3

Variable Name CPNAME23

Universe All from CPNAME22

Universe-text

Question Text What is [fill CPNAME21]'s last name?

Answer Codes

Question Type Text

Field Pane Description Second person's last name

Fill Instructions

Special Instructions If CPNAME21 ne R or D, make TEMP by concatenating CPNAME21 [space] CPNAME23

together.

Else, set TEMP = CPNAME23.

Skip Instructions <Allow 20> GO TO CP2ADDR1

<Refused, Don't know> GO TO CINFO

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_4

Variable Name CP2ADDR1

Universe CPNAME23 ne R, D

Universe-text

Question Text What is [fill TEMP]'s address?

* Read if necessary.

If there is more than one address, please give the address used most often.

* Enter address - first line

Answer Codes

Question Type Text

Field Pane Description Address 1

Fill Instructions

Special Instructions

Skip Instructions <Allow 54, Refused, Don't know> GOTO CP2ADDR2

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_5

Variable Name CP2ADDR2

Universe All from CP2ADDR1

Universe-text

Question Text * Enter address - second line or press 'Enter' to continue.

Answer Codes

Question Type Text

Field Pane Description Address 2

Fill Instructions

Special Instructions

Skip Instructions <Allow 54, empty, Refused, Don't know> GOTO CP2ADDR3

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_6

Variable Name CP2ADDR3

Universe All from CP2ADDR2

Universe-text

Question Text What is [fill TEMP]'s city?

Answer Codes

Question Type Text

Field Pane Description City

Fill Instructions

Special Instructions

Skip Instructions <Allow 20, Refused, Don't know> GOTO CP2ADDR4

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_7

Variable Name CP2ADDR4

Universe All from CP2ADDR3

Universe-text

Question Text What is [fill TEMP]'s state?

Answer Codes

Question Type Pick One - popup window

Field Pane Description State

Fill Instructions

Special Instructions Allow don't know or refused.

Skip Instructions GOTO CP2ADDR5

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Module 21

Section Name Recontact Section

Part

Question ID REC.210_8

Variable Name CP2ADDR5

Universe All from CP2ADDR4

Universe-text

Question Text What is [fill TEMP]'s zip code?

Answer Codes

Question Type Integer

Field Pane Description Zip code

Fill Instructions

Special Instructions

Skip Instructions <01000-99996, Refused, Don't know> GOTO CP2TELN2

<0-999> GOTO ERR_CP2ADDR5

Hard Edits ERR_CP2ADDR5

* The entire zip code must be entered.

* Please correct.

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Module 21

Section Name Recontact Section

Part

Question ID REC.220_1

Variable Name CP2TELN1

Universe All from CP2ADDR5

Universe-text

Question Text What is [fill TEMP's] phone number, beginning with the area code?

* Enter the area code and the number or enter 'N' if no phone.

Answer Codes

Question Type Integer

Field Pane Description Phone #

Fill Instructions

Special Instructions Use standard telephone field format <( ) - >

Skip Instructions <2000000000-9999999996> GOTO CP2TELN2

<0-1999999999> GOTO ERR_CP2TELN1

<N, Refused, Don't know> GOTO CP2REL

Hard Edits ERR_CP2TELN1

* The entire phone number must be entered.

* Please correct.

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Module 21

Section Name Recontact Section

Part

Question ID REC.220_2

Variable Name CP2TELN2

Universe CP2TELN1 ne N, R, D

Universe-text

Question Text What is [fill TEMP]'s extension?

* Enter the extension or press 'ENTER' to leave field blank..

Answer Codes

Question Type Integer

Field Pane Description Ext

Fill Instructions

Special Instructions

Skip Instructions <0000-9996, empty, Refused, Don't know> GOTO CP2REL

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Module 21

Section Name Recontact Section

Part

Question ID REC.240

Variable Name CP2REL

Universe All from CP2TELN2

or

CP2TELN1 = N, R, D

Universe-text

Question Text What is the relationship of this contact person to [fill ALIAS[HHREF_B]]?

Answer Codes 1. Spouse (Husband or wife)/ex-spouse not living in HH

2. Unmarried partner not living in HH

3. Child

4. Grandchild

5. Parent (Mother or Father)

6. Brother or sister

7. Grandparent

8. Other relative

9. Legal guardian

10. Friend

11. Co-worker

12. Neighbor

13. Other

Question Type Pick One - answer list pane

Field Pane Description Relationship

Fill Instructions

Special Instructions

Skip Instructions <1-13, Refused, Don't know> GOTO CINFO

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Module 21

Section Name Recontact Section

Part

Question ID REC.250

Variable Name CINFO

Universe CP1NAME = D, R

or

CP2NAME = D, R

or

all from CP2TITL

Universe-text

Question Text If we need to contact [fill 1] again, when are the best times to call or visit?

* Probe for as much detail as possible (for example: evenings, weekends, work telephone

number, etc) then press 'ENTER' when complete.

Answer Codes

Question Type Text

Field Pane Description Best recontact time

Fill Instructions fill 1: If single person family fill "you", else fill "your family"

Special Instructions store 1 in RCIFLAG(FAMINT)

Skip Instructions GOTO OUTCOMEB1(Back section)

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Module 21

Section Name Recontact Section

Part

Question ID REC.260

Variable Name RCIFLAG(FAMINT)

Universe CINFO ne 'empty'

Universe-text

Question Text

Answer Codes

Question Type ** Instrument Variable **

Field Pane Description

Fill Instructions

Special Instructions Status Flag for Recontact Section. Set to 1, if section has been completed, otherwise

leave empty.

Skip Instructions

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