Enclosure 3. Additional Screening Question
Who typically handles the mail in your household?
Only you
You and other members of your household
Someone else in your household other than you
NEW QUESTIONS FOR THE ADDENDUM
RA-17:Are you of Hispanic, Latino, or Spanish origin?
YES
NO
REF
DK
IF RA-17=NO (NOT HISPANIC ORIGIN), REF or DK, AT RA-18 USE “WHAT IS YOUR…”
OTHERWISE USE “WHAT RACE…”
RA-18. {What is your race and origin/What race and other origins are you}?
MARK ALL THAT APPLY.
WRITE-IN RESPONSE FOR “WHITE” AND “BLACK” IF MORE DETAIL PROVIDED.
FOR EVERYONE, PROBE: Can you tell me about your ancestry or ethnic origin?
WHITE ______________________
BLACK OR AFRICAN AMERICAN ______________________
MIDDLE EASTERN (E.G., EGYPTIAN, LEBANESE, IRANIAN, TURKISH, PALESTINIAN, SYRIAN)
AFRICAN (E.G., ETHIOPIAN, NIGERIAN)
CARRIBEAN (E.G., HAITIAN, JAMAICAN)
CENTRAL OR SOUTH AMERICAN (E.G., BELIZEAN, BRAZILIAN, GUYANESE)
AMERICAN INDIAN/ALASKAN NATIVE
ASIAN
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
OTHER ______________________
NO OTHER RACE (IF YES AT RA-17)
REF
DK
IF MORE THAN ONE PERSON IN HOUSEHOLD (GD-2 = YES), CONTINUE.
OTHERWISE, COLLECT CONTACT INFORMATION.
RA-14. Is anyone who lives with you a different race than you?
YES
NO
REF
DK
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Jessica Holzberg (CENSUS/CSM FED) |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |