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SECOND DRAFT
Gallup 2016 Federal Trade
Export Date:
Commission/FTC NON-RESPONSE
FOLLOW-UP FRAUD SURVEY
The Gallup Organization
Project #
Translations: YES
Practice:
QBank Id:
Eldo Project:
Field Date: May,
2017
Study Code:
s
i
Verbatims: YES
Quota: 100 (60 Cell
phone/40 Landline)
Group ID:
PA: TIM DEAN
CS: DAWN ROYAL
PROGRAMMER:
DESIGNER:
CASEID
QID:49758
I.D. #:
CASEID(1-6)
FVALIFON
QID:49759
**AREA CODE AND TELEPHONE NUMBER:
FVALIFON(1161-1179)
CINTTIME
QID:49760
**INTERVIEW TIME:
CINTTIME(1716-1721)
ENTITYID
QID:117057
ENTITY_ID
(Programmer: Code from fone file)
ENTITYID(916-925)
(Programmer: Code from fone file)
QNSB
QID:33653
SAMPLE TYPE:
1
2
Landline
Cell Phone
QNSB(100)
QNSBTST(100)
QNSB_1(178)
(Programmer: Code from fone file)
QNSSI
SAMPLE TYPE:
1
2
Landline
Cell Phone
INTRO1: Hello, this is _____________ , from Gallup. We are conducting a national
research survey on behalf of the Federal Trade Commission, an agency of the U.S.
government. This is strictly a research project, and no sales calls will be made as a
result of your participation. Your participation in this survey is completely voluntary.
This is a very short survey and take no more than three minutes.
INTERVIEWER READ: If person mention previous refusal to participate in the full
survey: I understand that you do not want to participate in the full study, but we have a
much shortened version that would help us very much. This should take no more than 3
minutes. Would you do the short version?
QID:142894
First, have I reached you on a landline phone or on a cell phone?
(Interviewer: If respondent says ‘home phone,’ ‘VOIP/Internet phone,’
or any type of phone other than a cell or mobile phone, code as ‘1.’)
1
2
3
4
5
Landline
Cell Phone
(DK)
(Refused)
(Business Line-Landline or Cell)
[VOLUNTEERED]
INTRO1 (2021)
INTRO1ASK(2305)
QID:150179
(Programmer: Note #1:)
Skip: (If code 5 in INTRO1, Thank and Terminate; If Code 2 in INTRO1
or code 2 in QNSB and code 3 or 4 in INTRO1, Skip to FRECCONS;
Otherwise, Continue)
INTRO2
QID:200565
(If code 1 in INTRO1 OR CODE 2 IN QNSB AND CODE 3 OR 4 IN
INTRO1, READ:) In order to keep our poll random, we need to select one
adult in your household. So please think about everyone living in your
household age 18 or older. May I please speak with the person who will
have the next birthday?
(Interviewer: If necessary, probe by saying:) May I speak to the person
who will celebrate the next birthday?)
(Interviewer: If necessary, probe by saying:) Is that person available?)
(Interviewer: If necessary, read:) Asking for the person with the next
birthday is how we randomly choose our survey respondents, which
makes our research more representative of the U.S.)
(Interviewer: If respondent has difficulty figuring out next birthday,
read:) I need to speak to the person in your household who will be
celebrating the next birthday. Please think about everyone who lives in
your household, 18 years of age or older, and their birthdays. Is the
person who will have the next birthday available?)
1
4
7
8
9
Yes, available - (Continue)
(SURVENT NOTE: Landline only:)
Next birthday respondent not available (Set time to call back)
Respondent not available or call him/her
later - (Set time to call back)
(Soft Refusal)
(Refused) - (Thank and Terminate)
INTRO2(2301)
INTRO2B(2301)
INTRO2A(2301)
QNSC6
QID:33674
Please tell me your age.
(Programmer: (Open ended and code actual age))
(Interviewer: If respondent asks “Do you have approval to do this?
“Under what authority are you doing this?” or “How do I know that
my answers will be confidential?” read: This survey is being
conducted under the authority of the FTC Act. We will not ask for your
name or any other personally identifying information. Your responses to
our questions will be combined with those of others who participate in the
survey. The project has been approved by the Office of Management and
Budget, which assigned OMB Control Number 3084-0125.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
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48
49
50
51
52
53
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60
61
62
63
64
65
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67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
85
86
87
88
89
90
91
92
93
94
95
96
97 or older
(DK)
(Refusal)
QNSC6(2381-2383)
QID:118640
Skip: (If code 01-17 in SC6, Thank and Terminate; If code 98 or 99
Continue;
Otherwise, Skip to INTRO3)
QNSC7
Can you tell me which age range best fits you? Are you (read 1-7)
QID:xxx
1
2
3
4
5
6
7
18 to 24
25 to 34
35 to 44
45 to 55
55 to 64
65 to 74
75 and over
8
9
(DK)
(Refused)
Skip: (If code 8 or 9 Thank and Terminate
Otherwise, Continue)
INTRO 3: Before proceeding further, I need to provide the following brief disclosure:
This survey is being conducted under the authority of the FTC Act. We will not ask for
your name or any other personally identifying information. Your responses to our
questions will be combined with those of others who participate in the survey. The
project has been approved by the Office of Management and Budget, which assigned
OMB Control Number 3084-0125.
Now I’d like to read you a list of experiences that some consumer have had. For each
of the following, please tell me which of these things, if any, have happened to you in
the past YEAR, that is since (PROGRAMMER: pull in date from one year ago.)
Q34_1
In the past year, has anyone told you that you had won a prize, a
sweepstakes, or a lottery or had been selected to receive an award such as money, a
free vacation, or other product or service?
1.
2.
8.
9.
Yes
No
(DK)
(Refused)
Q38_1 In the past year, has anyone sent you a check and asked you to send some of
the money from the check back to the sender or to someone else? This may have
happened in connection with a prize you were told you had won, a grant, a job,
something you were selling (perhaps online), or something else.
1.
2.
8.
9.
Yes
No
(DK)
(Refused)
Q40_1 In the past year, have you paid anyone for a product such as nonprescription
drugs, dietary supplements, skip patches, creams wraps, or earrings that the seller
suggested or implied would help you lose a substantial amount of weight?
1.
2.
8.
9.
Yes
No
(DK)
(Refused)
Q14_1 In the past year, have you paid money to anyone who promised to provide you
with a credit card or loan, but required that you pay a fee before you received the credit
card or loan?
1.
2.
8.
9.
Yes
No
(DK)
(Refused)
Interviewer read:
I just a few remaining demographic questions left….
D2
QID:xxx
In what state do you live?
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Washington, D.C.
Florida
Georgia
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
STATABV(101-102)
D8
QID:498707
What is the highest level of school you have completed or the highest
degree you have received?
(Interviewer: Open ended and code)
(Interviewer: If respondent says currently attending college, code as
4;
If respondent says completed some college courses, code as 4;
If respondent says currently attending graduate school, code as 7;
If respondent says completed some graduate school classes, code
as 7)
1
2
3
4
5
6
7
8
9
0
Less than a high school diploma (Grades 1
through 11 or no schooling)
High school graduate (Grade 12 with diploma
or GED certificate)
Technical, trade, vocational or business
school or program after high school
Some college – college, university, or
community college -- but no degree
Two year associate degree from a college,
university, or community college
Four year bachelor’s degree from a college or
university (e.g., BS, BA, AB)
Some postgraduate or professional schooling
after graduating college, but no postgraduate
degree (e.g., some graduate school)
Postgraduate or professional degree,
including master’s, doctorate, medical, or law
degree (e.g., MA, MS, PhD, MD, JD)
(DK)
(Refused)
D4_1(2335)
D4_1REC(2335)
D12
QID:56851
Are you of Hispanic, Latino, or Spanish origin - such as Mexican, Puerto
Rican, Cuban, or other Spanish origin?
1
2
8
9
Yes
No
(DK)
(Refused)
D5(2522)
D5_FLT(2911)
D5_1(2912)
D5_2(2913)
D13
QID:218795
I am going to read a list of racial categories. Please choose one or more
categories that best indicates your race. (Read 1-5)
(Programmer: Allow FIVE responses)
1
2
3
4
5
8
9
0
White
Black or African-American
Asian
American Indian or Alaska Native, or
Native Hawaiian or Pacific Islander
(DK)
(Refused)
(No more responses)
# of Responses: 5
D69_P(2303)
D69_1(2362)
D69_2(2363)
D69_3(2364)
D69_4(2365)
D69_5(2366)
(Programmer: Note #1:)
QID:228918
(Programmer: Note #2:)
Skip: (If code 1 in INTRO1, Autocode D14 as 1 and Skip to Note
before D14a;
Otherwise, Continue)
(If code 1 in INTRO1, skip to D18, otherwise continue)
D17
QID:228651
Do you have a working landline telephone in your home?
1
2
8
9
Yes
No
(DK)
(Refused)
D74(2388)
QID:xxxx
Skip: (If code 1 in D17 Continue, Otherwise skip to Note before D19;
Otherwise, Continue)
D18
QIDxxx
How many different residential phone NUMBERS do you have coming into
your household, not including lines dedicated to a fax machine, modem, or
used strictly for business purposes? Do not include cellular phones.
(Interviewer: Open ended and code actual number)
(Interviewer: A VOIP or cable phone line would count as a
landline.)
0
1
2
3
4
5
8
9
QID:228919
D19
QID:228653
Zero
One
Two
Three
Four
Five or more
(DK)
(Refused)
Skip: (If code 2 in INTRO1, Autocode D19 as 1 and Skip to Note
before D20;
Otherwise, Continue)
Do you have a working cell phone that you receive and make calls on?
1
2
8
9
Yes
No
(DK)
(Refused)
D75(2399)
QID:228865
D20
QID:228655
Skip: (If code 2-4 in D19, Continue;
Otherwise, Skip to Note before D21)
Does anyone in your household have a working cell phone?
(Interviewer: This can include children under 18 in the household)
1
2
8
9
Yes
No
(DK)
(Refused)
D76(2400)
QID:228868
(Programmer: Note #1:)
Skip: (If code 2-4 in D20, Skip to ANN_INC;
Otherwise, Continue)
QID:228894
(Programmer: Note #2:)
Skip: (If code 1 in D18 AND [code 1 in D19 or D20], Continue;
Otherwise, Skip to ANN_INC)
D21
QID:103424
Of all the telephone calls your household receives (read 1-3)?
1
2
3
8
9
All or almost all calls are received on
cell phones
Some are received on cell phones and
some on regular phones, OR
Very few or none are received on cell
phones
(DK)
(Refused)
D15C(2588)
D24.
QID:xxxx
(INTERVIEWER CODE GENDER, IF NOT CLEAR ASK:) For our study I
need to confirm if you are male or female?
1
2
8
9
Male
Female
(DK)
(Refused)
EndCLOCK:
QID:xxxx
SECTION CLOCK:
File Type | application/pdf |
File Modified | 2016-12-07 |
File Created | 2016-12-07 |