Form 0920-0214 Re-Interview Survey

Attachment 9d - 2021 NHIS Reinterview Questionnaire

Procedure for finding respondent for Redesigned Reinterview:

If there’s a Sample Adult interview then we will attempt to contact the Sample Adult for Reinterview. If there’s no Sample Adult interview, but there is a Sample Child interview then we will attempt to contact the Sample Child Proxy for Reinterview. If there is no Sample Child interview, then we will attempt to contact the Household Respondent.

In the rare case that the Sample Adult interview was completed by a proxy, we will not attempt to contact the Sample Adult or Sample Adult proxy for the reinterview. We will move to trying to contact the Sample Child Proxy (therefore sample adult questions will be skipped), and if there is no Sample Child proxy, then we will attempt to contact the Household Respondent.

The content verification questions are specific to the respondent who answered the original question (either Sample Adult or Sample Child proxy). These questions are only asked when there was a response from the related question in the original interview. Respondents will not be reinterviewed on topics they weren’t asked about originally. All responses are dichotomous “Yes” or “No”

START OF REINTERVIEW QUESTIONNAIRE

Read to respondent - Now I am going to ask you a few questions to verify that the survey was administered correctly. Each person can be asked different questions, so please answer questions according to your memory.

Note: only read if there is a Sample Adult or Sample Child proxy to administer the following questions to:

Adult Annual Content

Q1. Did the interviewer ask you questions about whether you or someone you live with has a cell phone? (SACELL)

Universe: Sample adults 18+ (IF TELCEL_A has a valid response: 1,2, rf,dk)

Q2. Did the interviewer ask whether you had difficulty with self-care such as washing all over or dressing? (SASLFCARE)

Universe: Sample adults 18+ (If UPPSLFCR_A has a valid response 1,2,rf,dk)

Q3. Did the interviewer ask whether you were covered by health insurance or some other kind of health care plan? (SAHINS)

Universe: Sample adults 18+ (If HICOV_A has a valid response, 1,2, rf,dk)

Q4. Did the interviewer ask you about the amount of your total family income? (SAINC, note: previously called FAM3)

Universe: Sample adults 18+ or Sample children < 18 (If INCWRKO_A has a valid response 1,2,rf,dk OR INCWRKO_C has a valid response 1,2,rf,dk)

Note: If the total family income question was asked as part of the Sample Adult interview, then ask this question of the Sample Adult in reinterview. Else, if the total family income question was asked as part of the Sample Child interview, then ask this question of the Sample Child respondent in reinterview.

Q5. Did the interviewer ask whether your house has a functioning smoke detector? (SMKDET)

Universe: Sample adults 18+ or proxy for Sample Child (NOTE: This is a control item; we do not ask about smoke detectors)

Q6. Did the interviewer ask you whether there is a place that you usually go to when you are sick or need health care? (SAAUSUAL)

Universe: Sample adults 18+ (If USUALPL_A has a valid response 1,2,3,rf,dk)

Q7. Did the interviewer ask whether you consider yourself to be {if ‘1’ to SEX_FINAL: gay, straight, bisexual, or something else/if ‘2’, ‘RF’,’DK’ to SEX_FINAL: lesbian or gay, straight, bisexual, or something else}? (SAORIENT)

Universe: Sample adults 18+ (If ORIENT_A has a valid response 1,2,3,4,5,rf)

Q8. Did the interviewer ask for the last four digits of your social security number? (SASOC)

Universe: Sample adults 18+ (If SSN4_A has a valid response string, N (doesn’t have SSN), rf,dk)

2021 Rotating Adult Core Content:

Q9. Did the interviewer ask if you had any accident or injury where any part of your body was hurt in the past 3 months? (RCINJURY)

Universe: Sample adults 18+ (If [ANYINJURY_A] has a valid response 1,2,rf,dk)

Q10. Did the interviewer ask you about having allergies, including hay fever or seasonal allergies, as well as food and skin allergies? (RCALLERG)

Universe: Sample adults 18+ (If CURRESP_A has a valid response 1,2,rf,dk)

2021 Emerging Adult Content:

Q11. Did the interviewer ask you about being tested for coronavirus or COVID-19? (ECCOVTST)

Universe: Sample adults 18+ (If COVIDTEST_A has a valid response 1,2,rf,dk)

Read to respondent –Thank you. These next two questions are to make sure that the interviewer recorded the correct responses in the original interview:

Note: Should this only be read if PREDIB_A or SMKEV_A were not empty.

Adult Annual Content

Q12. Has a doctor or other health professional EVER told you that you had prediabetes or borderline diabetes? (SAPREDIB)

Universe: Sample adults 18+

Note: We are now going to open this question up to all sample adults with a valid response to assess response variance. Therefore ask if there is a valid response to PREDIB_A (1,2,rf,dk).

Q13. Have you smoked at least 100 cigarettes in your ENTIRE LIFE? (SASMKEV)

Universe: Sample adults 18+

Note: We are now going to open this question up to all sample adults with a valid response to assess response variance. Therefore ask if there is a valid response to SMKEV_A (1,2,rf,dk).

Read to respondent –[Fill: Now] I am going to ask about two questions you were asked to answer on behalf of the following child in your family: ^SCNAME.

Note: This should only be read if the Sample Adult is also the Sample Child respondent.

Child Annual Content

Note: This should only be read if the reinterview respondent was Sample Child Respondent (RIRESP = LNO_SCRESP or Sample Adult received question first SARESPSC_FLG=1).

Q14. Did the interviewer ask you if ^SCNAME was ever diagnosed with asthma? (SCASTHMA)

Universe: (If ASEV_C has a valid response 1,2,rf,dk)

2021 Rotating Child Core Content:

Note: This should only be read if the reinterview respondent was Sample Child Respondent (RIRESP = LNO_SCRESP).

Q15. Did the interviewer ask you if ^SCNAME had allergies, including hay fever or seasonal allergies, as well as food and skin allergies?    (RCSCALLERG)

Universe: (If CURRESP_C has a valid response 1,2,rf,dk)