Survey of Earned Doctorates - Cognitive Interviews

SRS-Generic Clearance of Survey Improvement Projects for the Division of Science Resources Statistics

Att 4 SED questionnaire - screener questions

Survey of Earned Doctorates - Cognitive Interviews

OMB: 3145-0174

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Attachment 4: Screener Questions

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SCREENER QUESTIONS
1. ENTER RESPONDENT GENDER. ASK IF UNSURE.
1. MALE
2. FEMALE
2. Would you be able to complete an in-person interview at one of our offices in Chicago,
Illinois or Bethesda, Maryland?
1. YES, CHICAGO
2. YES, BETHESDA
3. NOI am sorry, we are only able to conduct interviews in the Chicago and
Bethesda areas at this time.

3. How old are you?
_______

years

4. Have you completed your doctoral degree?
1. YESGO TO 6
2. NOGO TO 5

5. In what month and year do you expect to receive your degree?
_________/_________

MONTH/YEAR GO TO 7

6. In what month and year did you receive your degree?
_________/_________

MONTH/YEAR

7. What is the name of the university where you [are completing/completed] your doctoral
degree?
_____________________________________________

NAME OF INSTITUTION

8. What is the name of the department in which you [are completing/completed] your
doctoral degree?
_____________________________________________
NAME OF DEPARTMENT
[PROBE AS NECESSARY TO DETERMINE IF R IS IN A JOINT OR
INTERDISCIPLINARY PROGRAM.]

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9. Do you have a Master’s degree?
1. YES
2. NOGO TO 11

10. What is the name of the university where you completed your Master’s degree?
_____________________________________________

NAME OF INSTITUTION

11. IF RECENTLY GRADUATED: What is your current work status? Are you…
1. Not currently working for pay
(INCUDES RETIRED, UNEMPLOYED, STAY-AT-HOME, OR STUDENT
STATUS)
2. Working part-time; that is, working fewer than 35 hours per week at one or
more jobs, including self-employment
3. Working full-time; that is, 35 or more hours per week at one or more jobs,
including self-employment
GO TO 13
12. IF NOT YET GRADUATED: What is the current status of your plans after graduation?
1. Returning to, or continuing in, position held prior to graduation
2. Definite commitment to work
3. Negotiating with a specific employer
4. Seeking a position
5. Other _______________________________
13. What kind of work do you [plan to] do?

14. What is your citizenship status?
1. US CITIZEN
2. NON-US CITIZENOf which country are you a citizen?
__________________________________
3. DUAL CITIZENOf which countries are you a citizen?
__________________________________
__________________________________

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15. Are you of Hispanic or Latino origin?
1. YES
2. NO

16. I am going to read a list of race categories. Please choose one or more that best describes
your race.
1. American Indian or Alaska Native
2. Native Hawaiian or other Pacific Islander
3. Asian
4. Black or African American
5. White

IF RESPONDENT IS ELIGIBLE
OK, it looks like you are eligible to participate in the study. CONFIRM CONTACT
INFORMATION AND SCHEDULE APPOINTMENT

If RESPONDENT IS NOT ELIGIBLE
I’m sorry that right now we have enough people who have similar characteristics as you
for this round of interviews. Could I put your name on the list for the next round?
1. YES
2. NO

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File Typeapplication/pdf
AuthorNORC
File Modified2015-03-11
File Created2015-03-11

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