RECRUIT 2 “FLOATERS” PER EVENING
RECRUIT 2 SPANISH-LANGUAGE INTERVIEWS PER EVENING
IMPORTANT NOTES TO RECRUITER:
If respondent asks who is conducting the research, tell him/her that it is being conducted by Whitman Strategies, an independent opinion research company, on behalf of the Department of Veterans Affairs (the “VA”) and conducted by a third-party. Instruct respondent that the information collected will be kept private to the extent of the law. No personal identifiers will be disclosed to the VA.
If respondent terminates at any of the following questions, please politely terminate but attempt to get a name and reference (telephone or email) for a fellow area-vet, or a family member/loved one that might be willing to participate:
(IF RESPONDENT CANNOT PARTICIPATE) “I’m sorry that you cannot attend, but do you know of any friends in the area who have served, or any of your loved ones or family members that might be interested in participating? They will be paid $75 for their time.”
When pronouncing VA – say each letter separately “vee-ay”
Name:
Address:
City/State/Zip:
Phone Number:
Date:
Recruited By:
Hello, my name is ( __________ ) and I’m calling from ( ____________ ). We’re conducting a study on different issues in the area, and would like to include your views. I can assure you that we are not trying to sell you anything. If you are invited to attend the group discussion planned for this project, you’ll be paid $75 on the spot for voicing your opinions.
S1. Do you have any family or loved ones who have served on active duty in the U.S. Armed Forces? Active duty includes serving in the U.S. Armed Forces as well as activation from the Reserves or National Guard.
Yes
No THANK & TERMINATE
S2. What is your relationship with him or her?
Wife
Husband
Girlfriend (include Fiancé)
Boyfriend
Mother
Father
Friend (THANK AND TEMINATE)
Other _______(THANK AND TERNIMATE)
RECRUIT A MIX
S3. In which branch or branches did he/she serve on active duty? {ACCEPT MULTIPLE RESPONSES}
Army
Navy
Air Force
Marine Corps
National Guard/Reserves
Coast Guard
S3-1. And to the best of your knowledge, when your family member or loved one left service, did he or she do so….
Under honorable discharge
Under general discharge
Under dishonorable discharge TERMINATE
Through another means (SPECIFY______________)
Don’t know TERMINATE
TERMINATE IF ANOTHER MEANS INCLUDES DISHONORABLE DISCHARGE
S4. What is your age? ______________ (Record Age)
Under 18 {THANK & TERMINATE}
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-65
66-69
70+
S4-1. And how old is your loved one who served?
Under 18 {THANK & TERMINATE}
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-65
66-69
70+
S4-2. Code Respondent Type
Vet under 45
Vet 45 or over
S5. [GENDER]: {BY OBSERVATION}
Male
Female
S6. And to the best of your knowledge, during which time periods did your spouse or loved one serve in the U.S. Armed Forces?
[DO NOT READ. RECORD TIME PERIOD AND VERIFY BELOW]
|
Time Period |
Conflict |
Yes, Served [CHECK BOX] |
1 |
September 2001 – Present |
Operation Enduring Freedom (Afghanistan) or Operation Iraqi Freedom (Iraq) |
|
2 |
1990 to 2001 |
First Persian Gulf War |
|
3 |
1975 to 1990 |
|
|
4 |
1962 to 1975 |
Vietnam |
|
5 |
1955 – 1962 |
|
|
6 |
1950 to 1955 |
Korean War |
|
7 |
1947 to 1950 |
|
|
8 |
1941 to 1946 |
World War II |
|
9 |
Before 1941 |
|
|
[INTERVIEWER’S NOTE: FOR EVERY TIME PERIOD MENTIONED BY RESPONDENT THAT HAS TEXT IN CONFLICT BOX—VERIFY BY ASKING RESPONDENT IF HE/SHE SERVED DURING CONFLICT]
S6-1. Code Spouse Veteran Type:
1 |
Today’s Vets |
Male Age 55+ |
|
2 |
Gap Year Vets |
Male Age 35-54 S6=2,3 S6 does not = 1 |
|
3 |
Next Generation Vets |
Male or Female Under 45 S6=1 |
|
RECRUIT A MIX OF SPOUSES/LOVED ONES FROM ACROSS THE VETERAN SEGMENTATION
S7. Has your spouse or loved one that served ever applied for or used any benefits through the VA (say “vee-ay”) or Department of Veterans Affairs?
Yes
No
Don’t know {DO NOT READ}
S8. [IF YES in S7] Please tell me which benefits your spouse or loved one has applied for from the VA, and which he/she have actually used… (DO NOT READ LIST)
|
Applied For |
Used |
Health care |
|
|
Life insurance |
|
|
Home loans |
|
|
Education or training |
|
|
Vocational rehabilitation |
|
|
Burial or memorial benefits |
|
|
Disability compensation |
|
|
Pension |
|
|
Dependent benefits |
|
|
Transition assistance |
|
|
RECRUIT MIX
S8-1. Which of the following income groups reflects your TOTAL HOUSEHOLD INCOME last year before taxes? (Just stop me when I read the correct category.)
{READ CODES 1-7}
Less than $25,000
$25,000 to less than $50,000
$50,000 to less than $75,000
$75,000 to less than $100,000
$100,000 to less than $150,000
$150,000 to less than $200,000
$250,000 or more
Don’t know {Do not read} {THANK & TERMINATE}
Refused/NA {Do not read} {THANK & TERMINATE}
S9. How would you describe your race?
1 White
2 Black or African-American
3 Asian
4 Native Hawaiian or Pacific Islander
5 American Indian or Alaskan Native
6. Hispanic or Latino Yes/No
7 Other {Do not read}
8 Don’t Know {Do not read}
9 Refused {Do not read}
RECRUIT MIX
S10. And when you are at home do you primarily speak…
English only
More English than Spanish
More Spanish than English
Spanish only
S10-1. Thinking about your media consumption habits, such as watching TV or reading a newspaper, do you typically consume media…
In English only
More in English than in Spanish
In English and Spanish equally
More in Spanish than in English
In Spanish Only
PARTICIPANTS FOR SPANISH LANGUAGE GROUPS MUST ANSWER S10=3-4 AND S10-1=3-5
S11. One last question, changing the subject a little bit: If you could have dinner with any famous person, living or dead, who would you have dinner with and why?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
IN ANSWERING THE ABOVE, RESPONDENTS MUST BE ABLE TO EASILY AND CLEARLY EXPRESS THEIR OPINIONS.
THANK AND RECRUIT
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Qualitative Screener |
Author | Anastasia Saltarelli |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |