PERSTAT |
|
|
Are all of these persons still living here? / Person status |
|
|
1. |
Person deceased |
2. |
Person moved out |
3. |
Person left - was a URE last month |
4. |
Delete person - to correct previous mistake |
5. |
Person is a URE this month |
9. |
Reinstate person |
|
|
FNAME |
|
|
What
are the names of all persons living or staying here? / What
is the name of the next person |
|
|
LNAME |
|
|
Enter
Last Name |
|
|
S_HHMEM |
|
|
Is this (name of person talking about)’s usual place of residence? |
|
|
1. |
Yes |
2. |
No |
3. |
Proxy |
|
|
URE |
|
|
Does
(name of person talking about) have a usual place of
residence elsewhere? |
|
|
1. |
Yes |
2. |
No |
|
|
SEX |
|
|
Ask
only if necessary |
|
|
1. |
Male |
2. |
Female |
|
|
|
|
NROS2B |
|
|
16
Persons in household roster |
|
|
1. |
Yes |
2. |
No |
|
|
CNT2BG |
|
|
How
many other? |
|
|
MCHILD |
|
|
I
have listed . . .
READ
NAMES |
|
|
1. |
Yes |
2. |
No |
|
|
MAWAY |
|
|
Have
I missed anyone who usually lives here but is |
|
|
1. |
Yes |
2. |
No |
|
|
MLODGE |
|
|
Have
I missed any lodgers, boarders, or persons |
|
|
1. |
Yes |
2. |
No |
|
|
MELSE |
|
|
Have
I missed anyone else staying
here? |
|
|
1. |
Yes |
2. |
No |
|
|
OWNREN1 |
|
|
What
is the name of the person or one of the persons |
|
|
0. |
Owner/Renter not a HH member |
1. |
Person 1's name |
2. |
Person 2's name |
3. |
Person 3's name |
4. |
Person 4's name |
5. |
Person 5's name |
6. |
Person 6's name |
7. |
Person 7's name |
8. |
Person 8's name |
9. |
Person 9's name |
10. |
Person 10's name |
11. |
Person 11's name |
12. |
Person 12's name |
13. |
Person 13's name |
14. |
Person 14's name |
15. |
Person 15's name |
16. |
Person 16's name |
|
|
HHRESP |
|
|
Ask
if necessary |
|
|
0. |
Under_15 |
1. |
Person 1's name |
2. |
Person 2's name |
3. |
Person 3's name |
4. |
Person 4's name |
5. |
Person 5's name |
6. |
Person 6's name |
7. |
Person 7's name |
8. |
Person 8's name |
9. |
Person 9's name |
10. |
Person 10's name |
11. |
Person 11's name |
12. |
Person 12's name |
13. |
Person 13's name |
14. |
Person 14's name |
15. |
Person 15's name |
16. |
Person 16's name |
|
|
HHRESP_VERIFY |
|
|
* Are all persons - |
|
|
1. |
Under 15 years of age |
2. |
Non-household members |
|
|
|
|
S_RRP |
|
|
^SHOW_READ |
|
|
20. |
Spouse |
21. |
Unmar_Part |
22. |
Child |
23. |
Grandchild |
24. |
Parent |
25. |
Bro_Sis |
26. |
Oth_Rel |
27. |
Foster_Child |
28. |
Roommate |
29. |
Roomer |
30. |
Oth_Nonrel |
|
|
|
|
S_SUBFAM |
|
|
Earlier
you said that (name of person talking about) (was/were) |
|
|
1. |
Yes |
2. |
No |
|
|
SUBFAM_WHO |
|
|
Who
(are / is) (name of person talking about) related to? |
|
|
1. |
Person 1's name |
2. |
Person 2's name |
3. |
Person 3's name |
4. |
Person 4's name |
5. |
Person 5's name |
6. |
Person 6's name |
7. |
Person 7's name |
8. |
Person 8's name |
9. |
Person 9's name |
10. |
Person 10's name |
11. |
Person 11's name |
12. |
Person 12's name |
13. |
Person 13's name |
14. |
Person 14's name |
15. |
Person 15's name |
16. |
Person 16's name |
|
|
|
|
LNMOM |
|
|
Enter
line number of mother of (name of person talking about) |
|
|
0. |
No_One |
1. |
Person1 |
2. |
Person2 |
3. |
Person3 |
4. |
Person4 |
5. |
Person5 |
6. |
Person6 |
7. |
Person7 |
8. |
Person8 |
9. |
Person9 |
10. |
Person10 |
11. |
Person11 |
12. |
Person12 |
13. |
Person13 |
14. |
Person14 |
15. |
Person15 |
16. |
Person16 |
|
|
MOMTYP |
|
|
(are / is) (name of person talking about) Your / Mother's name biological, step, or adopted child? |
|
|
1. |
Bio |
2. |
Step |
3. |
Adopt |
|
|
CK_LNDAD |
|
|
|
|
|
LNDAD |
|
|
Enter
line number of father of (name of person talking
about) |
|
|
0. |
No_One |
1. |
Person1 |
2. |
Person2 |
3. |
Person3 |
4. |
Person4 |
5. |
Person5 |
6. |
Person6 |
7. |
Person7 |
8. |
Person8 |
9. |
Person9 |
10. |
Person10 |
11. |
Person11 |
12. |
Person12 |
13. |
Person13 |
14. |
Person14 |
15. |
Person15 |
16. |
Person16 |
|
|
DADTYP |
|
|
(are / is) (name of person talking about) your / father's name biological, step, or adopted child? |
|
|
1. |
Bio |
2. |
Step |
3. |
Adopt |
|
|
PARENT2 |
|
|
^REF_FNAME
^REF_LNAME ‘s parent is also |
|
|
1. |
Yes |
2. |
No |
|
|
BIRTHM |
|
|
What
is (name's/your) date of birth? |
|
|
1. |
Jan |
2. |
Feb |
3. |
Mar |
4. |
Apr |
5. |
May |
6. |
June |
7. |
July |
8. |
Aug |
9. |
Sept |
10. |
Oct |
11. |
Nov |
12. |
Dec |
|
|
BIRTHD |
|
|
What
is (name's/your) date of birth? |
|
|
BIRTHY |
|
|
What
is (name's/your) date of birth? |
|
|
VERIFY_AGE |
|
|
As
of last week, that would make (name/you) (approximately
(AGE)/ less than 1 / over 98 / AGE) |
|
|
1. |
Yes |
2. |
No |
|
|
AGEGSS |
|
|
Even
though you don’t know (name's/your) exact birthdate, |
|
|
AGE2 |
|
|
Ask
if necessary |
|
|
1. |
Yes |
2. |
No |
|
|
|
|
PREMARTL |
|
|
Since our last interview, has any household member had any changes in his or her Marital Status? |
|
|
1. |
Yes |
2. |
No |
|
|
MARITL |
|
|
(Are / Is) (name/you) now married, widowed, divorced, separated or never married? |
|
|
1. |
Married - Spouse PRESENT |
2. |
Married - Spouse ABSENT |
3. |
Widowed |
4. |
Divorced |
5. |
Separated |
6. |
Never married |
|
|
SPOUSE |
|
|
Enter
line number of spouse of (name of person talking about) |
|
|
0. |
No_One |
1. |
Person1 |
2. |
Person2 |
3. |
Person3 |
4. |
Person4 |
5. |
Person5 |
6. |
Person6 |
7. |
Person7 |
8. |
Person8 |
9. |
Person9 |
10. |
Person10 |
11. |
Person11 |
12. |
Person12 |
13. |
Person13 |
14. |
Person14 |
15. |
Person15 |
16. |
Person16 |
|
|
|
|
COHAB |
|
|
(do/does) (name/you)
have a boyfriend, girlfriend or partner in this household? |
|
|
0. |
No |
1. |
Person 1's name |
2. |
Person 2's name |
3. |
Person 3's name |
4. |
Person 4's name |
5. |
Person 5's name |
6. |
Person 6's name |
7. |
Person 7's name |
8. |
Person 8's name |
9. |
Person 9's name |
10. |
Person 10's name |
11. |
Person 11's name |
12. |
Person 12's name |
13. |
Person 13's name |
14. |
Person 14's name |
15. |
Person 15's name |
16. |
Person 16's name |
|
|
AFEVER |
|
|
Did
(name/you) ever serve on active duty |
|
|
1. |
Yes |
2. |
No |
|
|
AFWHEN |
|
|
* IF
NECESSARY:
Previously
I was told that (name/you) |
|
|
1. |
Sept_2001 |
2. |
Aug_1990 |
3. |
May_1975 |
4. |
Vietnam |
5. |
Feb_1955 |
6. |
Kor_war |
7. |
Jan_1947 |
8. |
WWII |
9. |
Nov_1941 |
|
|
AFNOW |
|
|
(Are
/ Is) (name/you) now/still |
|
|
1. |
Yes |
2. |
No |
|
|
EDUCA |
|
|
What
is the highest level of school (name/you) |
|
|
31. |
less_1 |
32. |
1-4 |
33. |
5_6 |
34. |
7_8 |
35. |
9th |
36. |
10th |
37. |
11th |
38. |
12th |
39. |
HS_grad |
40. |
coll |
41. |
Assoc_deg |
42. |
Assoc_deg |
43. |
Bach_deg |
44. |
Mast_deg |
45. |
Proff_deg |
46. |
Doct_deg |
|
|
DIPGED |
|
|
People
can get a High School diploma in a variety |
|
|
1. |
HS_Grad |
2. |
GED |
|
|
HGCOMP |
|
|
What
was the highest grade of regular school |
|
|
1. |
Less_1 |
2. |
1_4 |
3. |
5_6 |
4. |
7_8 |
5. |
9th |
6. |
10th |
7. |
11th |
8. |
12th |
|
|
CYC |
|
|
(Including
any time that may have been spent getting as Associate's Degree,/
) |
|
|
1. |
Less_1 |
2. |
Fresh |
3. |
Soph |
4. |
Jun |
5. |
4+ |
|
|
GRPROF |
|
|
Since
completing (your/his/her) Bachelor's degree |
|
|
1. |
Yes |
2. |
No |
|
|
GR6COR |
|
|
Did
(name/you) complete SIX |
|
|
1. |
Yes |
2. |
No |
|
|
MS123 |
|
|
Was
(name's/your) Master's Degree |
|
|
1. |
1_yr |
2. |
2_yr |
3. |
3_yr |
|
|
|
|
OWNREN2 |
|
|
What
is the name of the person or one of the persons |
|
|
0. |
Owner/Renter not a HH member |
1. |
Person 1's name |
2. |
Person 2's name |
3. |
Person 3's name |
4. |
Person 4's name |
5. |
Person 5's name |
6. |
Person 6's name |
7. |
Person 7's name |
8. |
Person 8's name |
9. |
Person 9's name |
10. |
Person 10's name |
11. |
Person 11's name |
12. |
Person 12's name |
13. |
Person 13's name |
14. |
Person 14's name |
15. |
Person 15's name |
16. |
Person 16's name |
|
|
|
|
S_RRP |
|
|
^SHOW_READ |
|
|
20. |
Spouse |
21. |
Unmar_Part |
22. |
Child |
23. |
Grandchild |
24. |
Parent |
25. |
Bro_Sis |
26. |
Oth_Rel |
27. |
Foster_Child |
28. |
Roommate |
29. |
Roomer |
30. |
Oth_Nonrel |
|
|
|
|
HSPNON (through December 2011) |
|
|
(Are / Is) (name/you) Spanish, Hispanic, or Latino? |
|
|
1. |
Yes |
2. |
No |
HSPNON (starting January 2012)
1. 2.
|
(Are / Is) (name/you) of Hispanic, Latino, or Spanish origin?
Yes No |
ORISPN (through December 2011) |
|
|
(Are
/ Is) (name/you) Mexican, |
|
|
1. |
Mexican |
2. |
Mexican American |
3. |
Chicano |
4. |
Puerto Rican |
5. |
Cuban |
6. |
Cuban American |
7. |
Other |
ORISPN (starting January 2012)
|
(Are
/ Is) (name/you) Mexican, Salvadoran, Spaniard, and so on?
If multiple answer, Probe: Which group (do/does) ( you/he/she) most closely identify with?
|
S_OROTSP(through December 2011) |
|
|
What is the name of (your/his/her) other Spanish, Hispanic, or Latino group? |
|
|
S_OROTSP(starting January 2012) |
|
|
What is that origin? |
|
(For example, Argentinean, Columbian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on) |
|
|
RACE (through December 2011) |
I am going to read you a list of five race categories. Please choose one or more races that (NAME/you) (consider yourself/considers himself/considers herself) to be: White; Black or African American; American Indian or Alaska native; Asian; OR Native Hawaiian or Other Pacific Islander. |
|
|
|
|
1. |
White |
2. |
Black or African American |
3. |
American Indian or Alaska Native |
4. |
Asian |
5. |
Native Hawaiian or Other Pacific Islander |
6. |
Other - DO NOT READ |
|
|
RACE (starting January 2012)
|
I’m going to read a list of race categories. You may choose one or more races. For this survey, Hispanic origin is not a race.
(Are you/Is NAME) 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
|
RACEAS(through December 2011) |
|
|
Which
of the following Asian groups |
|
|
1. |
Asian Indian |
2. |
Chinese |
3. |
Filipino |
4. |
Japanese |
5. |
Korean |
6. |
Vietnamese |
7. |
Other Asian - DO NOT READ |
RACEAS(starting January 2012)
|
(You/He/She) may choose one or more Asian groups.
(Are/Is) (you/he/she) Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or another Asian group, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on?
|
RACEPI(through December 2011) |
|
|
Which
of the following Native Hawaiian or |
|
|
1. |
Native Hawaiian |
2. |
Guamanian or Chamorro |
3. |
Samoan |
4. |
Other Pacific Islander - DO NOT READ |
RACEPI(starting January 2012)
|
(You/He/She) may choose one or more Pacific Islander groups.
(Are/Is) (you/he/she) Native Hawaiian; Guamanian or Chamorro; Samoan; or another Pacific Islander group, for example, Fijian, Tongan, and so on?
|
S_RACEOT |
|
|
|
|
|
RACEOS |
|
|
Specify Other race |
|
|
File Type | application/msword |
File Title | PERSTAT |
Author | DSD |
Last Modified By | back0002 |
File Modified | 2012-11-13 |
File Created | 2011-02-07 |