Attachment A_Web-based Screening Questions_2024_Tracked
Attachment A_Web-based Screening Questions_2024_Tracked.docx
2022 National Survey on Drug Use and Health (NSDUH)
Attachment A_Web-based Screening Questions_2024_Tracked
OMB: 0930-0110
2024 National Survey on Drug Use and Health (NSDUH): Draft Web Screening Specifications for Programming
Substance
Abuse and Mental Health Services Administration
Center for
Behavioral Health Statistics and Quality
Rockville, Maryland
Last Revised: June 19, 2023
2024 National Survey on Drug Use and Health (NSDUH): Draft Web Screening Specifications for Programming
Acknowledgments
This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), under Contract No. 75S20322C00001 with RTI International. Marlon Daniel served as the government project officer and as the contracting officer representative.
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS.
Electronic Access
This publication may be downloaded at https://www.samhsa.gov/data/.
Recommended Citation
Center for Behavioral Health Statistics and Quality. (2023). 2024 National Survey on Drug Use and Health (NSDUH): Final web screening specifications for programming. Substance Abuse and Mental Health Services Administration.
Originating Office
Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Room 15-E09D, Rockville, MD 20857. For questions about this report, please email CBHSQrequest@samhsa.hhs.gov.
Nondiscrimination Notice/Aviso de no discriminación
SAMHSA complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SAMHSA cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.
U.S. Department of
Health and Human Services
Substance Abuse and Mental Health
Services Administration
Center for Behavioral Health Statistics
and Quality
Populations Survey Branch
Last Revised: May 17, 2023
2024 NSDUH HU Web Screening Application Specifications
Document Format:
Each question is represented by a table (see template below).
Table Template:
VARIABLE NAME |
|
ASK |
Universe Receiving Question |
Question Text
|
|
SPANISH |
Spanish translation of English question text. |
NEXT |
Logic to next items. |
TABLET |
Comments about how tablet mode may need to differ from web/phone call-in. |
POP UP |
Explanation and text of any pop ups that respondents might receive on this screen. |
LANG |
|
ASK |
ALL |
Would
you like to complete this screening in English or Spanish? English Spanish
Please click next to continue
|
|
SPANISH |
¿Le gustaría completar esta encuesta de selección de participantes en inglés o español?
Inglés Español
Haga clic en Siguiente para continuar |
NEXT |
IF LANG = SPANISH, SHOW SCREENER IN SPANISH AND PROCEED WITH ROUTING LOGIC IF LANG = ENGLISH, SHOW SCREENER IN ENGLISH AND PROCEED WITH ROUTING LOGIC IF LANG NE BLANK, GO TO INSTRUCTIONS |
TABLET |
Tablet version has a Spanish toggle that can be used by the interviewer if necessary. |
POP UP |
NA |
INSTRUCTIONS |
|
ASK |
ALL |
Welcome to the National Survey on Drug Use and Health.
Please answer the following questions to determine if anyone in your household will be selected for an interview. These questions should only take 5 minutes to answer, so please complete them in one sitting.
To continue, if you are 18 years old or older and a resident of this household, please enter the participant code from the letter you received:
If you need help, call the 1-800 number listed above.
OMB
No: 0930-0110 Expires: 10/31/2024 |
|
SPANISH |
Bienvenido(a) a la Encuesta Nacional sobre la Salud y el Consumo de Drogas.
Por favor, responda las siguientes preguntas para determinar si alguien en su hogar será seleccionado para una entrevista. Estas preguntas solo deben tomar 5 minutos en responder, por lo que le pedimos que las complete en una sola sesión.
Para continuar, si tiene 18 años de edad o más y vive en este hogar, ingrese el código de participante que se encuentra en la carta que recibió:
Si necesita ayuda, llame al número 1-800 que se indica arriba.
Número
de OMB: 0930-0110 Fecha de vencimiento: 31/10/2024 |
NEXT |
IF INSTRUCTIONS = SPANISH, SHOW INSTRUCTIONS IN SPANISH AND PROCEED WITH ROUTING LOGIC IF RETURNING AFTER COMPLETED SCREENER: IF INSTRUCTIONS = NEXT, THEN CAI START IF RETURNING AFTER INCOMPLETE SCREENER AFTER MORE THAN ONE HOUR: IF INSTRUCTIONS = NEXT, THEN IDENTIFY SR1 |
TABLET |
Tablet version has a different text introducing the interviewer, RTI, DHHS, and the lead letter. The web/phone call-in version has an abbreviated introduction to omit unnecessary information based on the respondent having read the UTC or CA letter to get to the web screening. |
POP UP |
NA |
IDENTIFY SR1 |
|
ASK |
ALL |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
First, to verify, do you live at:
[FILL ADDRESS]?
1 Yes 2 No
|
|
SPANISH |
Primero, para verificar, ¿vive usted en:
[FILL ADDRESS]?
1 Sí 2 No
|
NEXT |
IF IDENTIFY SR1 = YES, THEN IDENTIFY SR2 IF IDENTIFY SR1 = NO, THEN THANK YOU |
TABLET |
Tablet version has IDENTIFY SR1 and 2 as one item. They have been divided into two items but will remain on the same screen because IDENTIFY SR2 is not optional in the web/phone call-in screener. Tablet version is phrased to be read by the FI. Web/phone call-in version text has been edited for self-administration. |
POP UP |
NA |
IDENTIFY SR2 |
|
ASK |
IF IDENTIFY SR1 = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Are you 18 or older?
1 Yes 2 No
|
|
SPANISH |
¿Tiene 18 años de edad o más? 1 Sí 2 No |
NEXT |
IF IDENTIFY SR2 = YES, THEN SR AGREEMENT IF IDENTIFY SR2 = NO, THEN NO, THEN THANK YOU |
TABLET |
Tablet version has IDENTIFY SR1 and SR2 as one item. They have been divided into two items but will remain on the same screen because IDENTIFY SR2 is not optional in the web/phone call-in screener. |
POP UP |
NA |
SR AGREEMENT |
|
ASK |
IF IDENTIFY SR2 = YES |
[LINK] FAQ [/LINK] [ [PHONE ICON] [LINK] 800-848-4079 [/LINK]
The following questions will ask for some general information about each person aged 12 or older in your household. This is to determine if anyone will be selected for the interview. It should only take a few minutes.
Each person selected for an interview will receive a $30 gift card when that interview is completed.
Also, please understand that federal law keeps your answers confidential, your participation is voluntary, and you can refuse to answer any question.
If you have questions about the study, call the Project Representative at 1-800-848-4079. If you have questions about your rights as a study participant, call RTI International’s Office of Research Protection at 1-866-214-2043 (a toll-free number).
|
|
SPANISH |
Las siguientes preguntas le pedirán información general sobre cada persona que tenga 12 años de edad o más en su hogar. Esto es para determinar si alguien será seleccionado para la entrevista. Solo debe tomar unos cuantos minutos.
Cada persona seleccionada para una entrevista recibirá una tarjeta de regalo de $30 dólares cuando se complete esa entrevista.
Además, comprenda que la ley federal mantiene sus respuestas en forma confidencial, que su participación es voluntaria y que puede negarse a responder cualquier pregunta.
Si tiene preguntas sobre el estudio, puede llamar al representante del proyecto al 1-800-848-4079. Si tiene preguntas sobre sus derechos como participante del estudio, sírvase llamar a la Oficina de RTI International para la Protección de Participantes en Estudios al 1-866-214-2043. |
NEXT |
IF SR AGREEMENT = NEXT, THEN SR OCCUPANCY |
TABLET |
Tablet version uses a longer consent script. |
POP UP |
NA |
SR OCCUPANCY |
|
ASK |
IF SR AGREEMENT = NEXT |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
(Did/Will) you live at [ADDRESS FILL] for most of the time during the months of (DATA COLLECTION PERIOD)?
1 Yes 2 No
|
|
SPANISH |
¿(Vivió/Vivirá) usted en [ADDRESS FILL] la mayor parte del tiempo durante los meses de ((DATA COLLECTION PERIOD)?
1 Sí 2 No
|
NEXT |
IF SR OCCUPANCY = YES, THEN TOTAL SDU MEMBERS IF SR OCCUPANCY = NO, THEN POP UP |
TABLET |
Tablet version includes an FI note confirming that OCCUPANCY = NO before closing the case. Added a pop up to the web/phone call-in mode to be sure respondents aren’t closing cases incorrectly. |
POP UP |
ENGLISH: IF NO: Just to confirm, you answered in the previous question that you (will NOT live/have NOT lived) at [ADDRESS FILL] for most of the time during the months of (DATA COLLECTION PERIOD)? Is this correct?
SPANISH: IF NO: Solo para confirmar, usted respondió en la pregunta anterior que (NO vivirá/NO ha vivido) en [ADDRESS FILL] la mayor parte del tiempo durante los meses de ((DATA COLLECTION PERIOD)? ¿Es esto correcto?
1 Yes Sí 2 No No
(IF YES, GO TO OCCUPANCY. IF NO, SR OCCUPANCY.) |
OCCUPANCY |
|
ASK |
IF SR OCCUPANCY POP UP = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Is there anyone else in your household who (lived/will live) at [ADDRESS FILL] for most of the time during (DATA COLLECTION PERIOD)?
Do not include anyone who (lived/will live) at school or somewhere else for most of the time during (DATA COLLECTION PERIOD).
1 Yes 2 No
|
|
SPANISH |
¿Hay alguna otra persona en su hogar que (vivió/vivirá) en [ADDRESS FILL] la mayor parte del tiempo (DATA COLLECTION PERIOD)?
No incluya a nadie que (vivió/vivirá) en la escuela o en otro lugar la mayor parte del tiempo durante (DATA COLLECTION PERIOD).
1 Sí 2 No
|
NEXT |
IF OCCUPANCY = YES, THEN TOTAL SDU MEMBERS IF OCCUPANCY = NO, THEN POP UP |
TABLET |
Tablet version includes an FI note confirming that OCCUPANCY = NO before closing the case. Added a pop up to the web/phone call-in mode to be sure respondents aren’t closing cases incorrectly. |
POP UP |
ENGLISH: IF OCCUPANCY = NO AND TOTAL SDU MEMBERS = 0: Just to confirm, you answered in the previous question that, including yourself, no one in your household lived at [ADDRESS FILL] for most of the time during (DATA COLLECTION PERIOD). Is this correct?
SPANISH: IF OCCUPANCY = NO AND TOTAL SDU MEMBERS = 0: Sírvase confirmar, incluyéndose usted, nadie en su hogar (vivió/vivirá) en [ADDRESS FILL] la mayor parte del tiempo durante (DATA COLLECTION PERIOD)?
1 Yes Sí 2 No No (IF YES, GO TO THANK YOU. IF NO, TOTAL SDU MEMBERS) |
TOTAL SDU MEMBERS |
|
ASK |
IF SR OCCUPANCY = YES OR SR OCCUPANCY POP UP = YES OR OCCUPANCY = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF SR OCCUPANCY = YES] Including yourself, how many people (lived/will live) at [ADDRESS FILL] for most of the time during (DATA COLLECTION PERIOD)?
[IF OCCUPANCY = YES] How many people in your household (lived/will live) at [ADDRESS FILL] for most of the time during (DATA COLLECTION PERIOD)?
Do not include anyone who (lived/will live) at school or somewhere else for most of the time during (DATA COLLECTION PERIOD).
_______ # of people (including/other than) yourself (RANGE 0-20)
|
|
SPANISH |
[IF SR OCCUPANCY = YES] Incluyéndose usted, ¿cuántas personas (vivieron/vivirán) en [ADDRESS FILL] la mayor parte del tiempo durante (DATA COLLECTION PERIOD)?
[IF OCCUPANCY = YES] ¿Cuántas personas en su hogar (vivieron/vivirán) en [ADDRESS FILL] la mayor parte del tiempo durante (DATA COLLECTION PERIOD)?
No incluya a nadie que (vivió/vivirá) en la escuela o en otro lugar la mayor parte del tiempo durante (DATA COLLECTION PERIOD).
_______ número de personas (incluyéndose / además de) usted (RANGE 0-20) |
NEXT |
IF TOTAL SDU MEMBERS = 0, THEN POP UP IF TOTAL SDU MEMBERS = 1, THEN MEMBERS 12 OR OLDER IF TOTAL SDU MEMBERS > 1, THEN MEMBERS 12 OR OLDER |
TABLET |
Tablet version has some optional text on this screen. Web/phone call-in version will have all text included. |
POP UP |
ENGLISH: [IF SR OCCUPANCY = YES AND TOTAL SDU MEMBERS = 0] Please confirm, including yourself, No one in your household (lived/will live) at [ADDRESS FILL] for most of the time during (DATA COLLECTION PERIOD)?
SPANISH: [IF SR OCCUPANCY = YES AND TOTAL SDU MEMBERS = 0] Sírvase confirmar, incluyéndose usted, nadie en su hogar (vivió/vivirá) en [ADDRESS FILL] la mayor parte del tiempo durante (DATA COLLECTION PERIOD)?
1 Yes Sí 2 No No
(IF YES, GO TO THANK YOU. IF NO, TOTAL SDU MEMBERS) |
MEMBERS 12 OR OLDER |
|
ASK |
IF TOTAL SDU MEMBERS NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF TOTAL SDU MEMBERS > 1] Of these (TOTAL SDU MEMBERS) people, how many are now age 12 or older [IF SR OCCUPANCY = YES] (including you)?
_______ (RANGE 1-TOTAL SDU MEMBERS)
[IF TOTAL SDU MEMBERS = 1 AND SR OCCUPANCY = YES] Are you the only person who (will live/lived) at this household for most of the time during (DATA COLLECTION PERIOD)?
[IF TOTAL SDU MEMBER = 1 AND OCCUPANCY = YES] Is this person age 12 or older?
1 Yes 2 No |
|
SPANISH |
[IF TOTAL SDU MEMBERS > 1] De estas (TOTAL SDU MEMBERS) personas, ¿cuántas tienen 12 años o más actualmente [IF SR OCCUPANCY = YES] (incluyéndose usted)?
_______ (RANGE 1-TOTAL SDU MEMBERS)
[IF TOTAL SDU MEMBERS = 1 AND SR OCCUPANCY = YES] ¿Es usted la única persona que (vivirá/vivió) en este hogar la mayor parte del tiempo durante (DATA COLLECTION PERIOD)?
[IF TOTAL SDU MEMBER = 1 AND OCCUPANCY = YES] ¿Tiene esta persona 12 años o más?
1 Sí 2 No
|
NEXT |
IF MEMBERS 12 OR OLDER = 0 OR > TOTAL SDU MEMBERS, THEN MEMBERS 12 OR OLDER = 0 POP UP IF MEMBERS 12 OR OLDER = NO, THEN THANK YOU IF SR OCCUPANCY = YES AND MEMBERS 12 OR OLDER = 1 OR YES, THEN SR AGE IF OCCUPANCY = YES AND MEMBERS 12 OR OLDER = 1 OR YES, THEN OTHER MEMBERS IF MEMBERS 12 OR OLDER > 1 AND OCCUPANCY = YES, THEN OTHER MEMBERS IF MEMBERS 12 OR OLDER > 1 AND SR OCCUPANCY = YES, THEN SR AGE |
TABLET |
Tablet version includes FI administered pop ups. These have been modified for web/phone call-in administration. |
POP UP |
ENGLISH: IF MEMBERS 12 OR OLDER = 0: Please answer this question again. Of these (TOTAL SDU MEMBERS) people, how many are now age 12 or older?
If the answer is still 0, please click on Next. If you need to change your answer, please enter the correct answer in the box above.
_______ (RANGE 0-TOTAL SDU MEMBERS)
SPANISH: IF MEMBERS 12 OR OLDER = 0: Responda esta pregunta nuevamente. De estas (TOTAL SDU MEMBERS) personas, ¿cuántas tienen 12 años o más actualmente?
Si la respuesta sigue siendo 0, haga clic en Siguiente. Si necesita cambiar su respuesta, ingrese la respuesta correcta en el cuadro de arriba.
_______ (RANGE 0-TOTAL SDU MEMBERS)
IF 0, GO TO THANK YOU. IF 1 OR >1 AND SR OCCUPANCY = YES, GO TO SR AGE. IF 1 AND OCCUPANCY = YES, GO TO OTHER MEMBERS |
SR AGE |
|
ASK |
IF SR OCCUPANCY = YES OR ROSTER NE BLANK OR CONFIRM ROSTER FOR SR = NO |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF SR OCCUPANCY = YES] How old are you?
______ ENTER AGE
[IF SR OCCUPANCY = NO] Next are a few questions about the people who live at [ADDRESS FILL]. Let’s start with the oldest and work down to the youngest.
How old is the oldest person? Do not include yourself.
______ ENTER AGE
|
|
SPANISH |
[IF SR OCCUPANCY = YES] ¿Cuántos años tiene usted?
______ INGRESE LA EDAD
[IF SR OCCUPANCY = NO] A continuación hay algunas preguntas sobre las personas que viven en [ADDRESS FILL]. Empecemos con la persona de mayor edad hasta llegar a la persona menor.
¿Cuántos años tiene la persona de mayor edad? No se incluya usted.
______ INGRESE LA EDAD |
NEXT |
IF SR AGE NE BLANK AND SR OCCUPANCY = YES, THEN SR SEX IF SR AGE NE BLANK AND SR OCCUPANCY = NO, THEN SR RELATION |
TABLET |
Tablet version includes FI administered pop ups. These have been modified for web/phone call-in administration. |
POP UP |
ENGLISH: IF SR AGE > 99: Please confirm, are you (AGE) years old? - (IF YES, GO TO SR SEX. IF NO, GO TO SR AGE). IF SR AGE <18: Please confirm, are you (AGE) years old?
SPANISH: IF SR AGE > 99: Sírvase confirmar, ¿tiene usted (AGE) años de edad? - (IF YES, GO TO SR SEX. IF NO, GO TO SR AGE). IF SR AGE <18: Sírvase confirmar, ¿tiene usted (AGE) años de edad?
|
SR SEX |
|
ASK |
IF SR AGE NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
What sex were you assigned at birth, on your original birth certificate?
|
|
SPANISH |
¿Qué sexo le fue asignado al nacer, en su certificado de nacimiento original?
1 Hombre 2 Mujer |
NEXT |
IF SR SEX NE BLANK, THEN SR GENDER |
TABLET |
NA |
POP UP |
ENGLISH: IF SR SEX =BLANK, “Answer required” is displayed.
SPANISH: IF SR SEX =BLANK, “Se necesita una respuesta” is displayed. |
SR GENDER |
||
ASK |
IF SR SEX NE BLANK |
|
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Do you describe yourself as male, female, transgender, or do you use a different term? (Check all that apply.)
1 Male
|
||
SPANISH |
¿Se describe usted como hombre, mujer, transgénero o utiliza un término diferente? (Marque todas las opciones que correspondan)
1 Hombre
|
|
NEXT |
IF SR GENDER NE BLANK AND SR AGE = 18-65, THEN SR MILITARY IF SR GENDER NE BLANK AND SR AGE NE 18-65, THEN SR HISPANIC IF SR GENDER = I USE A DIFFERENT TERM, THEN SR DIFTERM |
|
TABLET |
Tablet version does not include the instruction to check all that apply. |
|
POP UP |
ENGLISH: IF
SR GENDER =BLANK, “Answer required” is displayed
offering “Don’t know” and
SPANISH: IF SR GENDER =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
|
SR DIFTERM |
|
ASK |
IF SR GENDER = I USE A DIFFERENT TERM |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
What term do you use?
_______ (ALLOW 50 CHARACTERS) |
|
SPANISH |
¿Qué término usa? |
NEXT |
SR MILITARY |
TABLET |
NA |
POP UP |
ENGLISH: IF
SR DIFTERM =BLANK, “Answer required” is displayed
offering “Don’t know” and
SPANISH: IF SR DIFTERM =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
SR MILITARY |
|
ASK |
IF SR GENDER NE BLANK AND SR AGE = 18-65 |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Are you currently on active duty in the United States military?
1 Yes 2 No
|
|
SPANISH |
¿Está usted actualmente en servicio activo en las fuerzas armadas de los Estados Unidos?
1 Sí 2 No
|
NEXT |
IF SR MILITARY NE BLANK, THEN SR HISPANIC |
TABLET |
NA |
POP UP |
ENGLISH: IF
SR MILITARY = BLANK, “Answer required” is displayed
offering
SPANISH: IF SR MILITARY = BLANK, “Se necesita una respuesta” is displayed offering “Prefiero no contestar” as an additional option. |
SR HISPANIC |
|
ASK |
IF SR MILITARY NE BLANK OR (SR GENDER NE BLANK AND SR AGE NE 18-65) |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Are you of Hispanic, Latino or Spanish origin?
That is, do any of these groups describe your national origin or ancestry – Puerto Rican, Cuban, Cuban-American, Mexican, Mexican-American, Chicano, Central or South American, or origin in some other Spanish-speaking country?
1 Yes 2 No
|
|
SPANISH |
¿Es usted de origen hispano, latino o español?
¿Es decir que su origen nacional o ascendencia se puede describir como puertorriqueño, cubano, cubanoamericano, mexicano, mexicanoamericano, chicano, centro o sudamericano, o es nativo(a) de otro país donde se habla español?
1 Sí 2 No
|
NEXT |
IF SR HISPANIC NE BLANK, THEN SR RACE |
TABLET |
Tablet version has some optional text on this screen. Web/phone call-in version will have all text included. |
POP UP |
ENGLISH:
IF
SR HISPANIC =BLANK, “Answer required” is displayed
offering “Don’t know” and
SPANISH: IF SR HISPANIC =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
SR RACE |
|
ASK |
IF SR HISPANIC NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF HISPANIC = YES] We recorded that you are of Hispanic/Latino origin. This question is about race.
What is your race? (Check all that apply.)
1 American Indian or Alaska Native 2 Asian 3 Black or African American 4 Native Hawaiian or other Pacific Islander 5 White
|
|
SPANISH |
IF HISPANIC = YES] Hemos registrado que usted de origen hispano o latino. Esta pregunta se trata sobra la raza. Seleccione una opción.
¿Cuál es su raza? (Marque todas las opciones que correspondan)
1 Indígena americana o nativa de Alaska 2 Asiática 3 Negra o afroamericana 4 Nativa de Hawái o de otra isla del Pacifico 5 Blanca
|
NEXT |
IF SR RACE NE BLANK, THEN SR CONFIRM ROSTER |
TABLET |
Tablet version does not include the instruction to check all that apply. |
POP UP |
ENGLISH: IF
SR RACE =BLANK, “Answer required” is displayed
offering “Don’t know” and
SPANISH: IF SR RACE =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
SR CONFIRM ROSTER |
|
ASK |
IF SR RACE NE BLANK |
[LINK] FAQ [/LINK] [ [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Please review your information:
Age AGE FILL Sex SEX FILL Gender GENDER FILL Active Military Duty MILITARY FILL Hispanic HISPANIC FILL Race RACE FILL
Is this correct?
1 Yes 2 No (Edit)
|
|
SPANISH |
Por favor, revise su información:
Edad AGE FILL Sexo SEX FILL Género GENDER FILL Servicio militar activo MILITARY FILL Hispano(a) HISPANIC FILL Raza RACE FILL
¿Es eso correcto?
1 Sí 2 No (Cambiar)
|
NEXT |
IF SR CONFIRM ROSTER = YES AND MEMBERS 12 OR OLDER ≥ 2, THEN OTHER MEMBERS IF SR CONFIRM ROSTER = YES AND MEMBERS 12 OR OLDER = 1, THEN VERIFY ROSTER DATA IF SR CONFIRM ROSTER = NO, THEN EDIT ROSTER OPTION |
TABLET |
Tablet version is phrased to be read by the FI. Web/phone call-in version text has been edited for self-administration. |
POP UP |
NA |
EDIT ROSTER OPTION |
|
ASK |
IF SR CONFIRM ROSTER = NO |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Edit your selections below
Age AGE FILL Sex MALE FEMALE Gender To select more than one gender, press the Control Key and select other gender(s) MALE FEMALE TRANSGENDER [DIFTERM FILL] Active Military Duty YES NO Hispanic YES NO Race To select more than one race, press the Control key and select other race(s) [LIST WITH RACE OPTIONS]
[IF NOT SR] Relation [LIST WITH RELATIONSHIP OPTIONS]
Is this correct?
|
|
SPANISH |
Cambie sus respuestas a continuación
Edad AGE FILL Sexo HOMBRE MUJER Género Para seleccionar más de un género, presione la tecla “Control” y seleccione otro(s) género(s) HOMBRE MUJER TRANSGÉNERO [DIFTERM FILL] Servicio activo militar SÍ NO Hispano(a) SÍ NO Raza Para seleccionar más de una raza,
presione
la tecla que dice “Ctrl” (Control) y seleccione
otra(s) [LIST WITH RACE OPTIONS]
¿Es esto correcto? |
NEXT |
IF SR CONFIRM ROSTER = YES AND MEMBERS 12 OR OLDER ≥ 2, THEN OTHER MEMBERS IF SR CONFIRM ROSTER = YES AND MEMBERS 12 OR OLDER = 1, THEN VERIFY ROSTER DATA |
TABLET |
Tablet version is phrased to be read by the FI. Web/phone call-in version text has been edited for self-administration. |
POP UP |
NA |
PERSON # RELATION |
|
ASK |
IF OTHER MEMBERS NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
How is this person related to you?
Spouse Child (includes half, step, foster, or adoptive) Child-in-law Sibling (includes half, step, foster, or adoptive) Sibling-in-law Parent/Guardian (includes step, foster, or adoptive) Parent-in-law Uncle or Aunt Nephew or Niece Grandparent Grandchild Cousin Ex-Spouse Unmarried Partner Housemate or Roommate Tenant, Boarder, or Exchange Students Other relative Other Non-relative Relationship Unspecified |
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SPANISH |
¿Cómo está relacionada esta persona con usted?
Esposo(a) Hijo(a) (incluye hijastro(a), hijo(a) “foster” o hijo(a) adoptivo(a)) Nieto(a) Yerno/nuera Hermano(a) (incluye medio(a) hermano(a), hermanastro(a), hermano(a) “foster” o hermano(a) adoptivo(a)) Cuñado(a) Padre/madre o tutor(a) legal (incluye padrastro/ madrastra, padre/madre “foster” o padre/madre adoptivo(a) Suegro(a) Tío(a) Sobrino(a) Abuelo(a) Nieto(a) Primo(a) Ex-esposo(a) Pareja (sin estar casados) Compañero(a) de casa o de cuarto Inquilino(a)/Pensionista/Intercambio estudiantil Otro pariente Otra persona que no es pariente
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NEXT |
SEX |
TABLET |
Tablet version has an additional “Relationship Unspecified” category. Web/phone call-in version does not have that response option. |
POP UP |
ENGLISH: IF MORE THAN ONE SPOUSE: You have indicated some other household member as your spouse and you have chosen spouse again. Do you have more than one spouse?
(IF YES, THEN MILITARY OR HISPANIC. IF NO, RELATION.)
IF RELATION = BLANK, THEN “Answer required” and “Please select a relation” are displayed.
SPANISH: IF MORE THAN ONE SPOUSE: Usted ha indicado a otro miembro del hogar como su (esposo/esposa) y ha seleccionado (esposo/esposa) nuevamente. ¿Tiene usted más de un(a) esposo(a)?
(IF YES, THEN MILITARY OR HISPANIC. IF NO, RELATION.)
IF RELATION = BLANK, THEN “Se necesita una respuesta” and “Seleccione una opción” are displayed.
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PERSON # SEX |
|
ASK |
IF RELATION NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
What sex was this person assigned at birth, on their original birth certificate?
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SPANISH |
¿Qué sexo le fue asignado a esta persona al nacer, en su certificado original de nacimiento?
1 Hombre 2 Mujer
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NEXT |
IF SEX NE BLANK, THEN GENDER |
TABLET |
NA |
POP UP |
ENGLISH: IF
SEX =BLANK, “Answer required” is displayed offering
“Don’t know” and
SPANISH: IF SEX =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
PERSON # GENDER |
|
ASK |
IF SEX NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Does this person describe themself as male, female, transgender, or do they use a different term? (Check all that apply.)
1 Male
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SPANISH |
¿Se describe esta persona como hombre, mujer, transgénero o utiliza un término diferente? (Marque todas las opciones que correspondan)
1 Hombre 2 Mujer 3 Transgénero 4 Utiliza un término diferente
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NEXT |
IF GENDER NE BLANK AND AGE = 17-65, THEN MILITARY IF GENDER NE BLANK AND AGE NE 17-65, THEN HISPANIC |
TABLET |
NA |
POP UP |
ENGLISH: IF
GENDER =BLANK, “Answer required” is displayed offering
“Don’t know” and
SPANISH: IF GENDER =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
PERSON # DIFTERM |
|
ASK |
IF GENDER = I USE A DIFFERENT TERM |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
What term do they use?
_______ (ALLOW 50 CHARACTERS) |
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SPANISH |
¿Qué término usa? |
NEXT |
MILITARY |
TABLET |
NA |
POP UP |
ENGLISH: IF
DIFTERM =BLANK, “Answer required” is displayed
offering “Don’t know” and
SPANISH: IF DIFTERM =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options. |
PERSON # MILITARY |
|
ASK |
IF GENDER NE BLANK AND AGE = 17-65 |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Is this person currently on active duty in the United States military?
1 Yes 2 No
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SPANISH |
¿Está esta persona actualmente en servicio activo en las fuerzas armadas de los Estados Unidos?
1 Sí 2 No |
NEXT |
IF MILITARY NE BLANK, THEN HISPANIC |
TABLET |
NA |
POP UP |
ENGLISH: IF PERSON # MILITARY =BLANK, “Answer required” is displayed offering “Don’t know” and “Rather not say” as additional options
SPANISH: IF PERSON # MILITARY =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options |
PERSON # HISPANIC |
|
ASK |
IF MILITARY NE BLANK OR (GENDER NE BLANK AND AGE NE 17-65) |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Is this person of Hispanic, Latino or Spanish origin?
That is, do any of these groups describe (his/her/this person’s) national origin or ancestry – Puerto Rican, Cuban, Cuban-American, Mexican, Mexican-American, Chicano, Central or South American, or origin in some other Spanish-speaking country?
1 Yes 2 No
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SPANISH |
¿Es esta persona de origen hispano, latino o español?
¿Es decir que su origen nacional o ascendencia se puede describir como puertorriqueño, cubano, cubanoamericano, mexicano, mexicanoamericano, chicano, centro o sudamericano, o es nativo(a) de otro país donde se habla español?
1 Sí 2 No |
NEXT |
IF HISPANIC NE BLANK, THEN RACE |
TABLET |
Tablet version has some optional text on this screen. Web/phone call-in version will have all text included. |
POP UP |
ENGLISH: IF PERSON # HISPANIC =BLANK, “Answer required” is displayed offering “Don’t know” and “Rather not say” as additional options
SPANISH: IF PERSON # HISPANIC =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options |
PERSON # RACE |
|
ASK |
IF HISPANIC NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF PERSON # HISPANIC = YES] We recorded that you have chosen Hispanic/Latino origin for this person. This question is about race.
What is (his/her/this person’s) race. (Check all that apply)
1 American Indian or Alaska Native 2 Asian 3 Black or African American 4 Native Hawaiian or other Pacific Islander 5 White
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SPANISH |
[IF PERSON # HISPANIC = YES] Hemos registrado que usted ha seleccionado origen hispano o latino para esta persona. Esta pregunta se refiere a la raza. Seleccione una opción para la raza.
¿Cuál es la raza de (él/ella/esta persona)? Marque todas las opciones que correspondan.
1 Indígena americana o nativa de Alaska 2 Asiática 3 Negra o afroamericana 4 Nativa de Hawái o de otra isla del Pacifico 5 Blanca
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NEXT |
IF RACE NE BLANK, THEN CONFIRM ROSTER |
TABLET |
Tablet version does not have the instruction to check all that apply. |
POP UP |
ENGLISH: IF PERSON # RACE =BLANK, “Answer required” is displayed offering “Don’t know” and “Rather not say” as additional options
SPANISH: IF PERSON # RACE =BLANK, “Se necesita una respuesta” is displayed offering “No sé” and “Prefiero no contestar” as additional options |
PERSON # CONFIRM ROSTER |
|
ASK |
IF RACE NE BLANK |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Please review (your information/the information for your [PERSON # RELATION FILL]:
Age AGE FILL Sex SEX FILL Gender GENDER FILL Active Military Duty MILITARY FILL Hispanic HISPANIC FILL Race RACE FILL
Is this correct?
1 Yes 2 No (Edit)
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SPANISH |
Por favor, revise (su información/la información de su [PERSON # RELATION FILL]:
Edad AGE FILL Sexo SEX FILL Género GENDER FILL Servicio militar activo MILITARY FILL Hispano(a) HISPANIC FILL Raza RACE FILL
¿Es esto correcto?
1 Sí 2 No (Cambiar)
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NEXT |
IF CONFIRM ROSTER = YES AND MORE MEMBERS TO BE ROSTERED, THEN AGE FOR NEXT HH MEMBER IF SR CONFIRM ROSTER = YES AND NO MORE MEMBERS TO BE ROSTERED, THEN VERIFY ROSTER DATA IF SR CONFIRM ROSTER = NO, THEN EDIT ROSTER SELECTIONS |
TABLET |
Tablet version is phrased to be read by the FI. Web/phone call-in version text has been edited for self-administration. |
POP UP |
NA |
EDIT PERSON # ROSTER OPTION |
|
ASK |
IF CONFIRM ROSTER = NO |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Edit your selections below
Age AGE FILL Sex MALE FEMALE Gender To select more than one gender, press the Control Key and select other gender(s) MALE FEMALE TRANSGENDER [DIFTERM FILL] Active Military Duty YES NO Hispanic YES NO Race To select more than one race, press the Control key and select other race(s) [LIST WITH RACE OPTIONS]
[IF NOT SR] Relation [LIST WITH RELATIONSHIP OPTIONS]
Is this correct?
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SPANISH |
Cambie sus respuestas a continuación
Edad AGE FILL Sexo HOMBRE MUJER Género Para seleccionar más de un género, presione la tecla “Control” y seleccione otro(s) género(s) HOMBRE MUJER TRANSGÉNERO [DIFTERM FILL] Servicio activo militar SÍ NO Hispano(a) SÍ NO Raza Para seleccionar más de una raza,
presione
la tecla que dice “Ctrl” (Control) y seleccione
otra(s) [LIST WITH RACE OPTIONS]
¿Es esto correcto? |
NEXT |
IF CONFIRM ROSTER = YES AND MORE HH MEMBERS TO ROSTER, THEN OTHER MEMBERS IF CONFIRM ROSTER = YES AND NO MORE HH MEMBERS TO ROSTER, THEN VERIFY ROSTER DATA |
TABLET |
Tablet version is phrased to be read by the FI. Web/phone call-in version text has been edited for self-administration. |
POP UP |
NA |
VERIFY ROSTER DATA |
|
ASK |
(IF CONFIRM ROSTER = YES AND MEMBERS 12 OR OLDER = 1) OR (IF CONFIRM ROSTER = YES AND NO MORE MEMBERS TO BE ROSTERED) |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
These are the people listed as 12 years old or older and living in this household for most of the time during the months of (DATA COLLECTION PERIOD).
LIST MEMBER NUMBER, AGE, AND RELATIONSHIP FOR EACH ROSTER MEMBER EACH ROSTER MEMBER HAS AN EDIT FUNCTION BUTTON AND ALL MEMBERS WHO ARE NOT SR HAVE A DELETE BUTTON.
Add Member button.
(If any household member who is 12 or older is missing, please click the Add button.)
If this information is correct and there are no other household members over 12 years old, please click the Submit button.
[SUBMIT]
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SPANISH |
Estas son las personas que figuran como mayores de 12 años de edad y que viven en este hogar la mayor parte del tiempo durante los meses de (DATA COLLECTION PERIOD).
Agregar miembro del hogar
(Si falta algún miembro del hogar que tenga 12 años o más, haga clic en el botón de Agregar).
Si esta información es correcta y no hay otros miembros del hogar que tengan más de 12 años, haga clic en el botón Enviar.
[ENVIAR]
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NEXT |
ENGLISH: IF EDIT FUNCTION SELECTED, THEN EDIT ROSTER OPTION IF DELETE FUNCTION SELECTED, THEN “Are you sure you want to delete this household member?” IF VERIFY ROSTER DATA = SUBMIT, THEN RESPONDENT SELECTION IF VERIFY ROSTER DATA = Add Member+, THEN PERSON # AGE
SPANISH: IF DELETE FUNCTION SELECTED, THEN ¿Está seguro(a) que desea borrar a este miembro del hogar de la lista? |
TABLET |
Tablet version is phrased to be read by the FI. Web/phone call-in version text has been edited for self-administration. Pop ups were created to allow editing of the roster information similar to what an FI would do in the field. |
POP UP |
NA |
RESPONDENT SELECTION |
|
ASK |
IF VERIFY ROSTER DATA = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF ONE OR TWO SELECTED] Congratulations! The following people from this household have been selected to participate in the National Survey on Drug Use Health interview.
RELATION AGE SELECTIONS
[IF NO ONE SELECTED] Thank you for completing this screening. No one in your household was selected to complete an interview. You will not be contacted again about this survey.
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SPANISH |
[IF ONE OR TWO SELECTED] ¡Felicitaciones! Las siguientes personas de este hogar han sido seleccionadas para participar en la entrevista de la Encuesta Nacional sobre la Salud y el Consumo de Drogas.
RELATION AGE SELECTIONS
[IF NO ONE SELECTED] Gracias por completar las preguntas de selección de participantes. No se seleccionó a nadie en su hogar para completar una entrevista. No volveremos a comunicarnos con usted sobre esta encuesta.
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NEXT |
IF RESPONDENT SELECTION = NEXT, THEN CAI START |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR1 |
|
ASK |
IF RESPONDENT SELECTION = YOUTH R |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF ONE OR TWO YOUTH R SELECTED] Because a youth respondent has been selected to participate in the National Survey on Drug Use Health interview, we must first speak with a parent via telephone before that interview can begin:
INTERVIEW A: [AGE] [RELATIONSHIP]
Are you the parent or guardian for [IF ONE YOUTH SELECTED: this youth? OR IF TWO YOUTH SELECTED: these youth]
PARENT GUARDIAN NOT THE PARENT OR GUARDIAN
[IF TWO YOUTH SELECTED] INTERVIEW B: [AGE] [RELATIONSHIP]
PARENT GUARDIAN I AM NOT THE PARENT OR GUARDIAN OF THIS YOUTH
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SPANISH |
[IF ONE OR TWO YOUTH R SELECTED] Debido a que un(a) joven ha sido seleccionado(a) para participar en la entrevista de la Encuesta Nacional sobre la Salud y el Consumo de Drogas, primero debemos hablar con uno de los padres por teléfono antes de poder comenzar esa entrevista:
INTERVIEW A: [AGE] [RELATIONSHIP]
¿Es usted el padre/la madre o tutor(a) de [IF ONE YOUTH SELECTED: este(a) joven? OR IF TWO YOUTH SELECTED: estos(as) jóvenes]
PADRE/MADRE TUTOR(A) NO SOY EL PADRE/LA MADRE O TUTOR(A)
[IF TWO YOUTH SELECTED] INTERVIEW B: [AGE] [RELATIONSHIP]
PADRE/MADRE TUTOR(A) NO SOY EL PADRE/LA MADRE O TUTOR(A)
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NEXT |
IF ONE YOUTH R SELECTED AND YOUTHR1a = YES, THEN YOUTHR3 – SR IS PARENT IF ONE YOUTH R SELECTED AND YOUTHR1a = NO, THEN YOUTHR2 SR – NOT PARENT IF TWO YOUTH R SELECTED AND YOUTHR1a = YES AND YOUTHR1b = YES, THEN YOUTHR3 – SR IS PARENT IF TWO YOUTH R SELECTED AND YOUTHR1a = YES AND YOUTHR1b = NO, THEN YOUTHR4 – SR PARENT/NOT PARENT IF TWO YOUTH R SELECTED AND YOUTHR1a = NO AND YOUTHR1b = YES, THEN YOUTHR4 – SR PARENT/NOT PARENT IF TWO YOUTH R SELECTED AND YOUTHR1a = NO AND YOUTHR1b = NO, THEN YOUTHR2 – SR NOT PARENT |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO |
|
ASK |
IF YOUTHR2 – SR NOT PARENT = NEXT |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
To help us speak with a parent about [this interview/these interviews], we would like your first name and phone number so a project representative can call you to then speak with a parent of [this youth/these youths]. Or a parent may call 1-800-848-4079 to speak with an authorized project representative to provide permission.
We will NOT share your name or phone number or contact you for any other reason.
When the project representative calls your phone number and someone answers, they will ask for you by first name, reference your completion of this screening and mention the age and gender of anyone selected for an interview.
Are you willing to provide your first name and phone number so our project representative can call you?
YES NO
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SPANISH |
Para poder hablar con uno de los padres sobre [esta entrevista/estas entrevistas], nos gustaría que nos diera su nombre (sin el apellido) y su número de teléfono para que un representante del proyecto pueda llamarle para luego hablar con uno de los padres de [este(a) joven/estos(as) jóvenes]. O uno de los padres puede llamar al 1-800-848-4079 para hablar con un representante autorizado del proyecto para proporcionar el permiso.
NO compartiremos su nombre o número de teléfono, ni nos comunicaremos con usted por ninguna otra razón.
Cuando el representante del proyecto llame a su número de teléfono y alguien conteste, preguntará por usted por su nombre (sin el apellido) y hará referencia a estas preguntas de selección de participantes que usted completó, y mencionará la edad y el sexo de cualquier persona seleccionada para una entrevista.
¿Estaría dispuesto(a) a proporcionarnos su nombre (sin el apellido) para que un representante del proyecto le pueda llamar?
YES NO
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NEXT |
IF YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = YES, THEN SR PHONE IF YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = NO AND AN ADULT RESPONDENT SELECTED, THEN START CAI ADULT IF YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
|
SR PHONE |
|
ASK |
IF YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Please enter your first name and phone number so that our project representative can contact you about [this/these] upcoming [interview/interviews].
First Name: OPEN ENDED RESPONSE OPTION
Phone Number: OPEN ENDED RESPOSE OPTION WITH FAINT PLACEHOLDER TEXT XXX XXXXXXX TO PROMPT USERS TO ENTER FULL PHONE NUMBER INCLUDING AREA CODE |
|
SPANISH |
Ingrese su nombre (sin el apellido) y número de teléfono para que nuestro representante del proyecto pueda llamarle sobre [esta próxima entrevista] [estas próximas entrevistas].
Nombre (sin el apellido): OPEN ENDED RESPONSE OPTION
Número de teléfono: OPEN ENDED RESPOSE OPTION WITH FAINT PLACEHOLDER TEXT XXX XXXXXXX TO PROMPT USERS TO ENTER FULL PHONE NUMBER INCLUDING AREA CODE |
NEXT |
IF SR PHONE = NEXT AND AN ADULT RESPONDENT SELECTED, THEN START CAI ADULT IF SR PHONE = NEXT AND NO OTHER RESPONDENT SELECTED, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR3 – SR IS PARENT |
|
ASK |
IF (ONE YOUTH R SELECTED AND YOUTHR1a = YES) OR (TWO YOUTH R SELECTED AND YOUTHR1a = YES AND YOUTHR1b = YES) |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Before your [AGE] [RELATIONSHIP] [IF TWO SELECTED: and [AGE] [RELATIONSHIP]] can participate in this study, which asks about tobacco, alcohol, and drug use or non-use and other health related issues, we need to speak with you via telephone to get your permission.
If your child would like to participate in this interview and it is OK with you for your [child/children] to participate, please call 1-800-848-4079 to speak with an authorized project representative. The call should only take a few minutes so we can discuss your [child’s/children’s] participation in this interview, provide you with additional information, and document your verbal permission.
We ask that you please be at home with your [child/children] when you call so your [AGE] [RELATIONSHIP] [IF TWO SELECTED: and [AGE] [RELATIONSHIP]] can begin the interview from a private location soon after the call is completed. Your [child/children] will [IF TWO SELECTED: each] receive a $30 gift card after completing the interview.
Also, please have the letter sent to your household with the Participant Code available during this call. |
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SPANISH |
IF ONE SELECTED: Antes de que su [RELATIONSHIP] de [AGE] años pueda participar en este estudio, el cual hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas, y otros asuntos relacionados con la salud, primero debemos hablar por teléfono con usted para obtener su permiso. IF TWO SELECTED: Antes de que su [RELATIONSHIP] de [AGE] años y su [RELATIONSHIP] de [AGE] años puedan participar en este estudio, el cual hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas, y otros asuntos relacionados con la salud, primero debemos hablar por teléfono con usted para obtener su permiso.
Si a su hijo(a) le gustaría participar en esta entrevista y usted está de acuerdo con que [su hijo(a) participe/sus (hijos(as) participen], llame al 1-800-848-4079 para hablar con un representante autorizado del proyecto. La llamada solo tomará unos minutos para que podamos hablar sobre la participación de [su hijo(a)/sus hijos(as)] en esta entrevista, para proporcionarle información adicional y documentar su permiso verbal.
IF ONE SELECTED: Le pedimos que esté en su casa con su hijo(a) cuando llame para que su [RELATIONSHIP] de [AGE] años pueda comenzar la entrevista desde un lugar privado poco después de que finalice la llamada. Su hijo(a) recibirá una tarjeta de regalo de $30 dólares después de completar la entrevista. IF TWO SELECTED: Le pedimos que esté en su casa con sus hijos(as) cuando llame para que su [RELATIONSHIP] de [AGE] años y su [RELATIONSHIP] de [AGE] años puedan comenzar la entrevista desde un lugar privado poco después de que finalice la llamada. Cada uno(a) de sus hijos(as) recibirá una tarjeta de regalo de $30 dólares después de completar la entrevista.
También le pedimos que, durante la llamada, tenga a la mano la carta que se le envió a su hogar con el código de participante. La llamada tomará solo unos minutos.
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NEXT |
YOUTHR3 – SR IS PARENT = NEXT, THEN YOUTHR3A – SR IS PARENT, CONTACT INFO |
TABLET |
Tablet version does not have this screen. |
POP UP |
|
YOUTHR3A – SR IS PARENT, CONTACT INFO |
|
ASK |
IF YOUTHR3 – SR IS PARENT = NEXT |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
If you prefer, we can call you to speak about your [child’s/children’s] participation in this interview if you provide your first name and phone number.
We will NOT share your name or phone number or contact you for any other reason.
When the project representative calls your phone number and someone answers, they will ask for you by first name, reference your completion of this screening and mention the age and gender of anyone selected for an interview to that person. If you and your child are available at that time, the call should only take a few minutes. Are you willing to provide your first name and phone number so our project representative can call you?
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SPANISH |
Si lo prefiere, podemos llamarle para hablar acerca de la participación de su [hijo(a)/hijos(as)] en esta entrevista si proporciona su nombre (sin el apellido) y su número de teléfono.
NO compartiremos su nombre o número de teléfono, ni nos comunicaremos con usted por ninguna otra razón.
Cuando el representante del proyecto llame a su número de teléfono y alguien conteste, preguntará por usted por su nombre (sin el apellido) y hará referencia a estas preguntas de selección de participantes que usted completó, y le mencionará a esa persona la edad y el sexo de cualquier persona seleccionada para una entrevista. Si usted y su hijo(a) están disponibles en ese momento, la llamada solo debe tomar unos minutos.
¿Estaría dispuesto(a) a proporcionarnos su nombre (sin el apellido) y su número de teléfono para que un representante del proyecto le pueda llamar?
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NEXT |
IF YOUTHR3A – SR IS PARENT, CONTACT INFO = YES, THEN YOUTHR3 – SR IS PARENT, PARENT PHONE IF YOUTHR3A – SR IS PARENT, CONTACT INFO = NO AND AN ADULT RESPONDENT SELECTED, THEN START CAI ADULT IF YOUTHR3A – SR IS PARENT, CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR3 – SR IS PARENT, PARENT PHONE |
|
ASK |
IF YOUTHR3A – SR IS PARENT, CONTACT INFO = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Please enter your first name and phone number so that our project representative can contact you about [this/these] upcoming [interview/interviews].
First Name: OPEN ENDED RESPONSE OPTION
Phone Number: OPEN ENDED RESPOSE OPTION WITH FAINT PLACEHOLDER TEXT XXX XXXXXXX TO PROMPT USERS TO ENTER FULL PHONE NUMBER INCLUDING AREA CODE
|
|
SPANISH |
Ingrese su nombre y número de teléfono para que nuestro representante del proyecto pueda llamarle sobre [esta próxima entrevista] [estas próximas entrevistas].
Nombre (sin el apellido): OPEN ENDED RESPONSE OPTION
Número de teléfono: OPEN ENDED RESPOSE OPTION WITH FAINT PLACEHOLDER TEXT XXX XXXXXXX TO PROMPT USERS TO ENTER FULL PHONE NUMBER INCLUDING AREA CODE |
NEXT |
IF YOUTHR3A – SR IS PARENT, PARENT PHONE = NEXT AND AN ADULT RESPONDENT SELECTED, THEN START CAI ADULT IF YOUTHR3A – SR IS PARENT, PARENT PHONE = NEXT AND NO OTHER RESPONDENT SELECTED, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR4 – SR PARENT/NOT PARENT |
|
ASK |
IF (TWO YOUTH R SELECTED AND YOUTHR1a = YES AND YOUTHR1b = NO) OR (TWO YOUTH R SELECTED AND YOUTHR1a = NO AND YOUTHR1b = YES) |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF (TWO YOUTH R SELECTED AND YOUTHR1a = YES AND YOUTHR1b = NO) OR (TWO YOUTH R SELECTED AND YOUTHR1a = NO AND YOUTHR1b = YES)] Before your [AGE] [RELATIONSHIP] and [AGE] [RELATIONSHIP] can begin the interview, we must first speak with a parent (or guardian) via telephone and get their permission.
If your child would like to participate in this interview and it is OK with you for your child to participate, please call 1-800-848-4079 to speak with an authorized project representative. The call should only take a few minutes so we can discuss your child’s participation in this interview, provide you with additional information, and document your verbal permission.
Please inform the parent(s) of your [AGE] [RELATIONSHIP] that they have been selected for an interview and ask that a parent call 1-800-848-4079 to speak with an authorized project representative if the youth is interested in participating in this study, which asks about tobacco, alcohol, and drug use or non-use and other health related issues.
We ask that the parent and youth be at home when they call so the youth can begin the interview from a private location soon after the call is completed.
Also, please have the letter sent to your household with the Participant Code available during this call, which should only take a few minutes.
Please take a moment now to write down this number and give it to the parent of your [AGE] [RELATIONSHIP]. |
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SPANISH |
[IF (TWO YOUTH R SELECTED AND YOUTHR1a = YES AND YOUTHR1b = NO) OR (TWO YOUTH R SELECTED AND YOUTHR1a = NO AND YOUTHR1b = YES)] Antes de que su [RELATIONSHIP] de [AGE] años y su [RELATIONSHIP] de [AGE] años puedan comenzar la entrevista, primero debemos hablar por teléfono con uno de los padres (o tutor(a)) y obtener su permiso.
Si a su hijo(a) le gustaría participar en esta entrevista y usted está de acuerdo en que su hijo(a) participe, llame al 1-800-848-4079 para hablar con un representante autorizado del proyecto. La llamada tomará solo unos minutos para poder hablar sobre la participación de su hijo(a) en esta entrevista, para proporcionarle información adicional y documentar su permiso verbal.
Por
favor, informe a uno de los padres de su [RELATIONSHIP] de [AGE]
años, que él/ella ha sido seleccionado(a) para una
entrevista y pídale a uno de los padres que llame
al
Es necesario que uno de los padres y el/la joven estén en casa cuando llamen para que el/la joven pueda comenzar la entrevista desde un lugar privado poco después de que finalice la llamada.
También le pedimos que, durante esta llamada, tenga a la mano la carta que se le envió a su hogar con el código de participante. La llamada tomará solo unos minutos.
Por favor, anote este número ahora y entrégueselo a uno de los padres de su [RELATIONSHIP] de [AGE] años. |
NEXT |
YOUTHR4 – SR PARENT/NOT PARENT = NEXT, THEN YOUTHR4A – SR PARENT/NOT PARENT, REQUEST CONTACT INFO |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR4A – SR PARENT/NOT PARENT, CONTACT INFO |
|
ASK |
IF YOUTHR4 – SR PARENT/NOT PARENT = NEXT |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
If you prefer, we can call you to speak about your child’s participation in this interview or to help us speak to a parent of your [AGE] [RELATIONSHIP] if you provide your first name and phone number.
We will NOT share your name or phone number or contact you for any other reason.
When the project representative calls your phone number and someone answers, they will ask for you by first name, reference your completion of this screening and mention the age and gender of anyone selected for an interview to that person. If you and your child are available at that time, the call should only take a few minutes.
Are you willing to provide your first name and phone number so our project representative can call you? |
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SPANISH |
Si lo prefiere, podemos llamarle para hablar acerca de la participación de su hijo(a) en esta entrevista o para ayudarnos a hablar con uno de los padres de su [RELATIONSHIP] de [AGE] años si proporciona su nombre (sin el apellido) y su número de teléfono.
NO compartiremos su nombre o número de teléfono, ni nos comunicaremos con usted por ninguna otra razón.
Cuando el representante del proyecto llame a su número de teléfono y alguien conteste, preguntará por usted por su nombre (sin el apellido) y hará referencia a estas preguntas de selección de participantes que usted completó, y le mencionará a esa persona la edad y el sexo de cualquier persona seleccionada para una entrevista. Si usted y su hijo(a) están disponibles en ese momento, la llamada solo debe tomar unos minutos.
¿Estaría dispuesto(a) a proporcionarnos su nombre (sin el apellido) y su número de teléfono para que un representante del proyecto le pueda llamar? |
NEXT |
IF YOUTHR4A – SR PARENT/NOT PARENT, CONTACT INFO = YES, THEN YOUTHR4 – SR PARENT/NOT PARENT, PHONE IF YOUTHR4A – SR IS PARENT, CONTACT INFO = NO, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
YOUTHR4 – SR PARENT/NOT PARENT, PHONE |
|
ASK |
IF YOUTHR4A – SR PARENT/NOT PARENT, CONTACT INFO = YES |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
Please enter your first name and phone number so that our project representative can contact you about [this/these] upcoming [interview/interviews].
First Name: OPEN ENDED RESPONSE OPTION
Phone Number: OPEN ENDED RESPOSE OPTION WITH FAINT PLACEHOLDER TEXT XXX XXXXXXX TO PROMPT USERS TO ENTER FULL PHONE NUMBER INCLUDING AREA CODE
|
|
SPANISH |
Ingrese su nombre (sin el apellido) y número de teléfono para que nuestro representante del Proyecto pueda llamarle sobre [esta próxima entrevista] [estas próximas entrevistas].
Nombre (sin el apellido): OPEN ENDED RESPONSE OPTION
Número de teléfono: OPEN ENDED RESPOSE OPTION WITH FAINT PLACEHOLDER TEXT XXX XXXXXXX TO PROMPT USERS TO ENTER FULL PHONE NUMBER INCLUDING AREA CODE |
NEXT |
IF YOUTHR4 – SR PARENT/NOT PARENT, PHONE = NEXT, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
CAI START, ADULT ONLY |
|
ASK |
IF RESPONDENT SELECTION NE BLANK AND ONE OR TWO ADULT RESPONDENTS SELECTED |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
[IF ONLY ADULT SELECTED IS SR] If you are interested in participating, you can begin the interview right now. The survey will take about an hour and should be completed in one sitting at home. It is also recommended you complete the interview on a computer rather than a phone or tablet, but that is not required. You will receive a $30 gift card after you complete the interview.
[IF ONE ADULT SELECTED BUT NOT SR OR (TWO ADULTS SELECTED AND ONE INTERVIEW COMPLETED)] Is this person, your [AGE] [RELATIONSHIP], available? The interview can be started right now. It will take about an hour and should be completed in one sitting at home. It is also recommended the interview be completed on a computer rather than a phone or tablet, but that is not required. Anyone who completes the full interview will receive a $30 gift card at the end of the interview.
[IF TWO ADULTS SELECTED] Are either of these people available now? The interview can be started right now. It will take about an hour and should be completed in one sitting at home. It is also recommended the interview be completed on a computer rather than a phone or tablet, but that is not required. Anyone who completes the full interview will receive a $30 gift card at the end of the interview.
[START INTERVIEW BUTTON AND NO BUTTON FOR EACH SELECTED RESPONDENT]
|
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SPANISH |
[IF ONLY ADULT SELECTED IS SR] Si está interesado(a) en participar, puede comenzar la entrevista ahora mismo. La entrevista tomará como una hora y media y se debe completar en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o una tableta, pero eso no es absolutamente necesario. Usted recibirá una tarjeta de regalo de $30 dólares después de completar la entrevista.
[IF ONE ADULT SELECTED BUT NOT SR OR (TWO ADULTS SELECTED AND ONE INTERVIEW COMPLETED)] ¿Está disponible esta persona, su [RELATIONSHIP] de [AGE] años? La entrevista puede comenzar ahora mismo. Tomará como una hora y media y se debe completar en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o tableta, pero eso no es absolutamente necesario. Cualquier persona que complete la entrevista en su totalidad recibirá una tarjeta de regalo de $30 dólares al final de la entrevista.
[IF TWO ADULTS SELECTED] ¿Está alguna de estas personas disponible ahora? La entrevista puede comenzar ahora mismo. Tomará como una hora y media y se debe completar en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o tableta, pero eso no es absolutamente necesario. Cualquier persona que complete la entrevista en su totalidad recibirá una tarjeta de regalo de $30 dólares al final de la entrevista.
[START INTERVIEW BUTTON AND NO BUTTON FOR EACH SELECTED RESPONDENT] |
NEXT |
IF CAI START, ADULT ONLY = YES, THEN GO TO WEB CAI IF CAI START, ADULT ONLY = NO, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
ENGLISH: To confirm, you are the [AGE] [RELATIONSHIP (IF SR: person)] selected to complete this interview? Yes [START INTERVIEW] No [BACK TO SELECTIONS]
SPANISH: Solo para confirmar, ¿es usted el/la [RELATIONSHIP (IF SR: persona)] de [AGE] años seleccionada para completar esta entrevista? Sí [COMENZAR LA ENTREVISTA] No [REGRESAR A LA PANTALLA DE SELECCIÓN]
|
CAI START, YOUTH ONLY |
|
ASK |
IF RESPONDENT SELECTION NE BLANK AND ONLY YOUTH RESPONDENTS SELECTED |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK]
This interview will take about an hour and should be completed in one sitting at home. It is also recommended you complete the interview on a computer rather than a phone or tablet, but that is not required. You will receive a $30 gift card after you complete the interview.
[IF YOUTH PERMISSION NOT GIVEN] Please have the parent(s) of your [AGE] [RELATIONSHIP] ([IF TWO SELECTED: and your [AGE] [RELATIONSHIP]) call 1-800-848-4079 to speak with an authorized project representative if [the youth is/these youth are] interested in participating in this study, which asks about tobacco, alcohol, and drug use or non-use and other health related issues.
We ask that the parent and youth be at home when they call so the youth can begin the interview from a private location soon after the call is completed.
Also, please have the letter sent to your household with the Participant Code available during this call, which should only take a few minutes.
[IF ONE YOUTH SELECTED AND PERMISSION GIVEN] Is this person, your [AGE] [RELATIONSHIP], available? The interview can be started right now.
[IF TWO YOUTH SELECTED AND PERMISSION GIVEN] Are either of these two people, your [AGE] [RELATIONSHIP] and your [AGE] [RELATIONSHIP], available? The interview can be started right now.
[START INTERVIEW BUTTON AND NO BUTTON FOR EACH SELECTED RESPONDENT]
|
|
SPANISH |
Esta entrevista tomará aproximadamente una hora y debe completarse en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o tableta, pero eso no es absolutamente necesario. Usted recibirá una tarjeta de regalo de $30 dólares después de completar la entrevista.
[IF YOUTH PERMISSION NOT GIVEN] Pídale a uno de los padres de su [RELATIONSHIP] de [AGE] años ([IF TWO SELECTED: y su [RELATIONSHIP] de [AGE] años que llame al 1-800-848-4079 para hablar con un representante autorizado si [el/la joven está interesado(a)/estos(as) jóvenes están interesados(as)] en participar en este estudio, el cual hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas, y otros asuntos relacionados con la salud.
Es necesario que uno de los padres y el/la joven estén en casa cuando llamen para que el/la joven pueda comenzar la entrevista desde un lugar privado poco después de que finalice la llamada.
También le pedimos que, durante esta llamada, tenga a la mano la carta que se le envió a su hogar con el código de participante. La llamada tomará solo unos minutos.
[IF ONE YOUTH SELECTED AND PERMISSION GIVEN] ¿Está disponible esta persona, su [RELATIONSHIP] de [AGE] años? La entrevista puede comenzar ahora mismo.
[IF TWO YOUTH SELECTED AND PERMISSION GIVEN] ¿Está disponible cualquiera de estas personas, su [RELATIONSHIP] de [AGE] años y su [RELATIONSHIP] de [AGE] años? La entrevista puede comenzar ahora mismo.
[START INTERVIEW BUTTON AND NO BUTTON FOR EACH SELECTED RESPONDENT]
|
NEXT |
IF CAI START, YOUTH ONLY = YES, THEN GO TO WEB CAI IF CAI START, YOUTH ONLY = NO, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
ENGLISH: To confirm, you are the [AGE] [RELATIONSHIP (IF SR: person)] selected to complete this interview? Yes [START INTERVIEW] No [BACK TO SELECTIONS]
SPANISH: Solo para confirmar, ¿eres tú el/la [RELATIONSHIP (IF SR: persona)] de [AGE] años seleccionada para completar esta entrevista? Sí [COMENZAR LA ENTREVISTA] No [REGRESAR A LA PANTALLA DE SELECCIÓN] |
CAI START, ADULT AND YOUTH |
|
ASK |
IF RESPONDENT SELECTION NE BLANK AND ONE ADULT AND ONE YOUTH RESPONDENT SELECTED |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK] [ALL] This interview will take about an hour and should be completed in one sitting at home. It is also recommended you complete the interview on a computer rather than a phone or tablet, but that is not required. You will receive a $30 gift card after you complete the interview. [IF YOUTH PERMISSION NOT GIVEN] Please have the parent(s) of your [AGE] [RELATIONSHIP] ([IF TWO SELECTED: and your [AGE] [RELATIONSHIP]) call 1-800-848-4079 to speak with an authorized project representative if [the youth is/these youth are] interested in participating in this study, which asks about tobacco, alcohol, and drug use or non-use and other health related issues. We ask that the parent and youth be at home when they call so the youth can begin the interview from a private location soon after the call is completed. Also, please have the letter sent to your household with the Participant Code available during this call, which should only take a few minutes. [IF ADULT SELECTED IS SR AND YOUTH PERMISSION NOT GIVEN] Adults who are selected can begin the interview right now. If you are interested in participating, you can click the START INTERVIEW button below. [IF ADULT SELECTED NOT SR AND YOUTH PERMISSION NOT GIVEN] Adults who are selected can begin the interview right now. Is this person, your [AGE] [RELATIONSHIP], available? [IF YOUTH PERMISSION GIVEN] Are either of these people available now? The interview can be started right now. [START INTERVIEW BUTTON AND NO BUTTON FOR EACH SELECTED RESPONDENT] |
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SPANISH |
[ALL] Esta entrevista tomará como una hora y media y se debe completar en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o una tableta, pero eso no es absolutamente necesario. Usted recibirá una tarjeta de regalo de $30 dólares después de completar la entrevista. [IF YOUTH PERMISSION NOT GIVEN] Pídale a uno de los padres de su [RELATIONSHIP] de [AGE] años ([IF TWO SELECTED: y su [RELATIONSHIP] de [AGE] años que llame al 1-800-848-4079 para hablar con un representante autorizado si [el/la joven está interesado(a)/estos(as) jóvenes están interesados(as)] en participar en este estudio, el cual hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas, y otros asuntos relacionados con la salud. Es necesario que uno de los padres y el/la joven estén en casa cuando llamen para que el/la joven pueda comenzar la entrevista desde un lugar privado poco después de que finalice la llamada. También le pedimos que, durante esta llamada, tenga a la mano la carta que se le envió a su hogar con el código de participante. La llamada tomará solo unos minutos. [IF ADULT SELECTED IS SR AND YOUTH PERMISSION NOT GIVEN] Los adultos que son seleccionados puede comenzar la entrevista ahora mismo. Si está interesado(a) en participar, puede hacer clic en el botón COMENZAR LA ENTREVISTA a continuación. [IF ADULT SELECTED NOT SR AND YOUTH PERMISSION NOT GIVEN] Los adultos que son seleccionados puede comenzar la entrevista ahora mismo. ¿Está disponible esta persona, su [RELATIONSHIP] de [AGE] años? [IF YOUTH PERMISSION GIVEN] ¿Está cualquiera de estas personas disponible en este momento? La entrevista puede comenzar ahora mismo. [START INTERVIEW BUTTON AND NO BUTTON FOR EACH SELECTED RESPONDENT] |
NEXT |
IF CAI START, ADULT AND YOUTH = YES, THEN GO TO WEB CAI IF CAI START, ADULT AND YOUTH = NO, THEN THANK YOU |
TABLET |
Tablet version does not have this screen. |
POP UP |
ENGLISH: To confirm, you are the [AGE] [RELATIONSHIP (IF SR: person)] selected to complete this interview? Yes [START INTERVIEW] No [BACK TO SELECTIONS]
SPANISH: IF ADULT: Solo para confirmar, ¿es usted el/la [RELATIONSHIP (IF SR: persona)] de [AGE] años seleccionada para completar esta entrevista? Sí [COMENZAR LA ENTREVISTA] No [REGRESAR A LA PANTALLA DE SELECCIÓN]
IF YOUTH: Solo para confirmar, ¿eres tú el/la [RELATIONSHIP (IF SR: persona)] de [AGE] años seleccionada para completar esta entrevista? Sí [COMENZAR LA ENTREVISTA] No [REGRESAR A LA PANTALLA DE SELECCIÓN]
|
THANK YOU |
|
ASK |
IF (IDENTIFY SR1 = NO) OR (IDENTIFY SR2 = NO) OR (OCCUPANCY = NO) OR (TOTAL SDU MEMBERS = 0 POP UP = 0) OR (MEMBERS 12 OR OLDER = 0 POP UP = 0) OR (RESPONDENT SELECTION = BLANK) OR (SR PHONE1 = NO) OR (SR PHONE2 = NEXT) OR (YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED) OR (SR PHONE = NEXT AND NO OTHER RESPONDENT SELECTED) OR (YOUTHR3A – SR IS PARENT, CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED) OR (YOUTHR3A – SR IS PARENT, PARENT PHONE = NEXT AND NO OTHER RESPONDENT SELECTED) OR (CAI START, ADULT = NO) |
[LINK] FAQ [/LINK] [PHONE ICON] [LINK] 800-848-4079 [/LINK] [IF IDENTIFY SR1 = NO OR IDENTIFY SR2 = NO] An adult resident at this address must complete these questions. Thank you for your time. [TOTAL SDU MEMBERS = 0 POP UP = 0 OR MEMBERS 12 OR OLDER = 0 POP UP = 0] Thank you for your time. [OCCUPANCY = NO] Thank you for your time. This household is not eligible to participate in this study. [RESPONDENT SELECTION = BLANK] No one in your household has been selected for an interview. Thank you for your time. [IF SR SELECTED AND START CAI NOT SELECTED] Please come back to this page to begin the survey. The interview can be started at any time. It will take about an hour and should be completed in one sitting at home. It is also recommended the interview be completed on a computer rather than a phone or tablet, but that is not required. Anyone who completes the full interview will receive a $30 gift card at the end of the interview. Thank you for your time. Please click the Exit button. [IF SR NOT SELECTED AND START CAI NOT SELECTED] Please inform those in your household of their selection for the interview and please provide the letter you received with the website address and participant code. The interview can be started at any time. It will take about an hour and should be completed in one sitting at home. It is also recommended the interview be completed on a computer rather than a phone or tablet, but that is not required. Anyone who completes the full interview will receive a $30 gift card at the end of the interview. Thank you for your time. Please click the Exit button. [IF (SR PHONE = NEXT AND NO OTHER RESPONDENT SELECTED) OR (IF YOUTHR3A – SR IS PARENT, PARENT PHONE = NEXT AND NO OTHER RESPONDENT SELECTED, THEN THANK YOU)] A project representative will call you soon at the telephone number you provided to get parental permission to conduct the interviews. Or a parent may call 1-800-848-4079 to speak with an authorized project representative to provide permission. Please note, to protect your privacy, interviewers are not permitted to communicate via text message. Thank you for your time. Please click the Exit button. [IF (YOUTHR3A – SR IS PARENT, CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED) OR (YOUTHR4A – SR IS PARENT, CONTACT INFO = NO) OR (YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED)] Thank you for your time. Please inform the parent(s) of [IF ONE YOUTH SELECTED: this youth] [IF TWO YOUTH SELECTED: these youth] that they have been selected for an interview and ask that a parent call 1-800-848-4079 to speak with an authorized project representative if the youths are interested in participating in this study, which asks about tobacco, alcohol, and drug use or non-use and other health related issues. We ask that the parent and youth be at home when they call so the youth can begin the interview from a private location soon after the call is completed. Also, please ask the parent to have the letter sent to your household with the Participant Code available during this call, which should only take a few minutes. Please take a moment now to write down this number and give it to the parent. |
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SPANISH |
[IF IDENTIFY SR1 = NO OR IDENTIFY SR2 = NO] Una persona adulta que viva en esta dirección debe completar estas preguntas. Gracias por su tiempo. [TOTAL SDU MEMBERS = 0 POP UP = 0 OR MEMBERS 12 OR OLDER = 0 POP UP = 0] Gracias por su tiempo. [OCCUPANCY = NO] Gracias por su tiempo. Este hogar no reúne los requisitos para participar en este estudio. [RESPONDENT SELECTION = BLANK] Nadie en su hogar ha sido seleccionado para una entrevista. Gracias por su tiempo. [IF SR SELECTED AND START CAI NOT SELECTED] Regrese a esta página para comenzar la encuesta. La entrevista se puede iniciar en cualquier momento. Tomará como una hora y media y se debe completar en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o tableta, pero eso no es absolutamente necesario. Cualquier persona que complete la entrevista en su totalidad recibirá una tarjeta de regalo de $30 dólares al final de la entrevista. Gracias por su tiempo. Haga clic en el botón Salir. [IF SR NOT SELECTED AND START CAI NOT SELECTED] Por favor, informe a los miembros de su hogar que han sido seleccionados para la entrevista y proporcione la carta que recibió donde se indica el sitio web y el código de participante. La entrevista se puede iniciar en cualquier momento. Tomará como una hora y media y se debe completar en una sola sesión desde casa. También se recomienda completar la entrevista en una computadora en lugar de un teléfono o tableta, pero eso no es absolutamente necesario. Cualquier persona que complete la entrevista en su totalidad recibirá una tarjeta de regalo de $30 dólares al final de la entrevista. Gracias por su tiempo. Haga clic en el botón Salir. [IF (SR PHONE = NEXT AND NO OTHER RESPONDENT SELECTED) OR (IF YOUTHR3A – SR IS PARENT, PARENT PHONE = NEXT AND NO OTHER RESPONDENT SELECTED, THEN THANK YOU)] Un representante del proyecto lo(a) llamará pronto al número de teléfono que proporcionó para obtener permiso de uno de los padres para realizar las entrevistas. O uno de los padres puede llamar al 1-800-848-4079 para hablar con un representante autorizado del proyecto para proporcionar el permiso. Tenga en cuenta que, para proteger su privacidad, los entrevistadores no pueden comunicarse por mensaje de texto. Gracias por su tiempo. Haga clic en el botón Salir. [IF (YOUTHR3A – SR IS PARENT, CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED) OR (YOUTHR4A – SR IS PARENT, CONTACT INFO = NO) OR (YOUTHR2A – SR NOT PARENT, REQUEST CONTACT INFO = NO AND NO OTHER RESPONDENT SELECTED)] Gracias por su tiempo. Por favor, informe a uno de los padres de [IF ONE YOUTH SELECTED: este(a) joven, que ha sido seleccionado(a)] [IF TWO YOUTH SELECTED: estos(as) jóvenes, que han sido seleccionados(as)] para una entrevista y pídale a uno de los padres que llame al 1-800-848-4079 para hablar con un representante autorizado del proyecto si los jóvenes están interesados en participar en este estudio, el cual hace preguntas sobre el uso o no uso de tabaco, alcohol y drogas, y otros asuntos relacionados con la salud. Es necesario que uno de los padres y el/la joven estén en casa cuando llamen para que el/la joven pueda comenzar la entrevista desde un lugar privado poco después de que finalice la llamada. También pídale a uno de los padres que, durante esta llamada, tenga a la mano la carta que se le envió a su hogar con el código de participante. La llamada tomará solo unos minutos. Por favor, anote este número ahora y entrégueselo a uno de los padres. |
NEXT |
NA |
TABLET |
Tablet version does not have this screen. |
POP UP |
NA |
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | NSDUH Methodological Report Template |
| Author | Claudia Clark |
| File Modified | 0000-00-00 |
| File Created | 2023-10-25 |
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