Various Demographic Area Pretesting Activities

7

Protocol for CPS Fertility Supplement

Participant ID #: |___|___|___|___|___|

Interview Date: |___|___| / |___|___| / |_2_|_0_|_1_|_1_| (mm/dd/yyyy)

Interviewer initials: |___|___|

Start Time: ____________ AM / PM End Time: ____________ AM / PM

Section 1: Interviewer: Read/ Paraphrase the following text:

Greeting: Hello. My name is ________________, and I work for the Census Bureau. Thank you for agreeing to participate in our study.

What: In order to help us improve our surveys, we turn to people like you to find out if our

questions make sense and are fairly easy to understand and answer. We have found that the best way to do that is to actually conduct the survey with people and see how it works for them. So you will be helping us test a questionnaire from one of our surveys.

How: I want you to answer the questions exactly the way you would if an interviewer had come to your home for an official interview, but with one major difference…

Think Aloud: I would like you to think aloud as you answer the questions. I am interested in your answers, but I am also interested in the process you go through in your mind when you answer the questions. I would like you to tell me everything that you are thinking and feeling as you go about answering each question.

Practice question: How many windows are there in your house or apartment?

Interruptions: From time to time I’ll ask you some questions about your answers, or about the questions themselves. Remember, there are no right or wrong answers, because only you know what you are thinking.

I really want to hear your opinions and reactions, so don’t hesitate to speak up whenever something is unclear, is hard to answer, or doesn’t seem to apply to you. Do you have any questions before we begin?

Confidentiality: Our session today is completely confidential. Any names you provide will never be used in our reports. Your participation in this study is completely voluntary and you can decline to answer any particular question.

Recording: So I don’t have to rely on my memory later on, I’d like to tape record this interview. That way, I can focus today on what you’re saying rather than having to concentrate on taking notes. Is that ok with you?

** HAVE PARTICIPANT SIGN CONSENT FORM**

Begin: **TURN ON TAPE RECORDER**

OK, let’s begin.

Please remember to think aloud as you answer the questions.

Background questions:

1. What is your name?
   
   _____________________________________________________
   
   

2. What is your exact address?

_____________________________________________________

3. What is your date of birth?

Month:
Day:
Year:

4. Are you now married, widowed, divorced, separated or never married?
   
   1. Married- Spouse PRESENT (If married skip to Q6)
   2. Married- Spouse ABSENT (If married skip to Q6)
   3. Widowed
   4. Divorced
   5. Separated
   6. Never married

5. Do you have a boyfriend, girlfriend or partner in your household?
   
   1. YES
   2. NO

6. Did you ever serve on active duty in the U.S. Armed Forces?
   
   1. YES
   2. NO

7. What is the highest level of school you have completed or the highest degree you have received?
   
   1 Less than 1st grade

2 1st, 2nd, 3rd or 4th grade

3 5th or 6th grade

4 7th or 8th grade

5 9th grade

6 10th grade

7 11th grade

8 12th grade NO DIPLOMA

9 HIGH SCHOOL GRADUATE- high school DIPLOMA or the equivalent  (For example:  GED)

10 Some college but no degree

11 Associate degree in college - Occupational/vocational program

12 Associate degree in college -- Academic program

13 Bachelor's degree   (For example: BA, AB, BS)

14 Master's degree (For example:  MA, MS, MEng, MEd, MSW, MBA)

15 Professional School Degree (For example: MD,DDS,DVM,LLB,JD)

16 Doctorate degree  (For example: PhD, EdD)

8. Are you Spanish, Hispanic, or Latino?
   
   1. YES
   2. NO (Skip to Q11)

9. Are you Mexican, Mexican American, Chicano, Puerto Rican, Cuban, Cuban American, or some other Spanish, Hispanic, or Latino group?
   
   If multiple answers, Probe: Which group do you most closely identify with?
   
   1 Mexican (Skip to Q11)
   2 Mexican American (Skip to Q11)
   3 Chicano (Skip to Q11)
   4 Puerto Rican (Skip to Q11)
   5 Cuban (Skip to Q11)
   6 Cuban-American (Skip to Q11)
   7 Other

10. What is the name of your other Spanish, Hispanic, or Latino group?
    
    _______________________
    
    

11. I am going to read you a list of five race categories. Please choose one or more races

that you consider yourself to be: White; Black or African American; American Indian or Alaska Native; Asian; OR Native Hawaiian or Other Pacific Islander.

Do not probe unless response is Hispanic or a Hispanic origin.

1 White (Skip to Q15- SF1)

2 Black or African American (Skip to Q15- SF1)

3 American Indian or Alaska Native (Skip to Q15- SF1)

4 Asian (Skip to Q12)

5 Native Hawaiian or Other Pacific Islander (Skip to Q13)

6 Other - DO NOT READ (Skip to Q14)

12. Which of the following Asian groups are you?
    
    1 Asian Indian

2 Chinese

3 Filipino

4 Japanese
5 Korean

6 Vietnamese

7 Other Asian - DO NOT READ. Specify ______

13. Which of the following Native Hawaiian or Other Pacific Islander groups are you?
    
    

1 Native Hawaiian

2 Guamanian or Chamorro

3 Samoan
4 Other Pacific Islander - DO NOT READ. Specify ______

14. What is your race?
    
    __________________

Supplement questions:

The following questions are about women and the number of children they have had.

15. SF1. How many live births if any, have you ever had?

(Do not include any stillbirths or adopted children) If >0 skip to step SF2

____________

16. SF2. In what year was your (CHILD/FIRST CHILD) born?

Enter year_____________

How did you come up with your answer?

17. SF3a. At the time when your first child was born were you married?
    
    

(If married or separated mark “Yes” if widowed, divorced or never married mark “No”)

Yes  END

No

How did you decide on your answer?

18. SF3b. At the time when your first child was born, did you have a boyfriend or partner in the household? (If SF3A = No)

Yes

No

How did you decide on your answer?

END OF SURVEY

Debriefing:

Earlier I asked you how many live births you’ve had. What does the term “live births” mean to you in that question?

Note to interviewer: Ask any questions you feel you need to ask to get a full understanding of the R’s identity theft situation. If you were not able to ask certain questions during the questionnaire, ask them here.

That brings us to the end of our interview. Before you go, I have a few questions for you about the interview.
Overall, would you say the survey questions were easy or difficult to respond to? Which ones? Why?
Do you think there are questions other people would find difficult? Which ones? Why?
Do you think there are questions people would find sensitive? Which ones? Why?
Do you have anything else you would like to tell us that you haven’t had a chance to mention yet?
Thank you for your participation (give $$).