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pdf2025 CATI VERIFICATION SCRIPTS
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Verification Script for Codes 10, 13, 18, 26
General Information:
All skips or routing instructions to be programmed are noted next to response in brackets []
Sex = Male/Female
Gender = male/female/ transgender/[DIFTERM FILL]
All fills are designated by italics text in parentheses (address)
(FI Description): FIs official name, unless we have an FI nickname
Program fill for past or future tense as follows:
Use the first portion of the fill (will/did) (stay/stayed)
If Qtr 1 and call is before Feb 15, else use second portion
If Qtr 2 and call is before May 15, else use second portion
If Qtr 3 and call is before August 15, else use second portion
If Qtr 4 and call is before November 15, else use second portion
Program fill for (3-month quarter field period)
Qtr 1= January, February, March
Qtr 2= April, May, June
Qtr 3= July, August, September
Qtr 4 = October, November, December
(Screening Date) fill: Date of final Screening Code
Fills: (first name/a resident of this household) If first name available from data, use this in fill – otherwise, use “a
resident of this household”.
The responses from the following variable items will need to be available for a frequency or data dump by request:
INTROSPD (verbatim elaboration on other respondent being available)
ELB1D (verbatim elaboration on how the FI was not professional)
Screening Information Provided for Codes 10,13,18,26:
CaseID
Phone number (designates home or work phone)
Address
Notes to Verification Caller [Additional data from Samsung Galaxy Tablet]
First Name
Screening Date (date of final Screening code)
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Screening Script:
>INTRO1D<
May I speak to (first name)?
<1>
<2>
<3>
<4>
<5>
<6>
<7>
SPEAKING TO TARGET RESPONDENT [D1INTRO]
RESPONDENT AVAILABLE (NOT SPEAKING TO TARGET) [if cell number, go to
Cell_Res3, else D1INTRO]
RESPONDENT UNAVAILABLE [NORES1D]
RESPONDENT UNKNOWN [NORES1D]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [NORES1D]
OTHER [INTROSPD]
RESPONDENT KNOWN, BUT DOES NOT SPEAK ENGLISH OR SPANISH [NORES1D]
>INTROSPD<
ENTER RESPONDENT’S ANSWER VERBATIM. [NORES1D]
>NORES1D<
OK, perhaps you can help me (My name is ____________. I am calling from RTI International regarding a
study sponsored by the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored. Are you or anyone else at
this number familiar with (address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
<3>
YES, RESPONDENT IS [D1]
YES, SOMEONE ELSE IS [SPEAKD]
NO [NORES2D]
DON’T KNOW [NORES2D]
>NORES2D<
I was given this telephone number to verify that our interviewer made contact with someone that either
lives at or is knowledgeable about (address). Is there anyone at this number who might be familiar with
(address)?
<1>
<2>
<3>
YES, RESPONDENT IS [D1]
YES, SOMEONE ELSE IS [SPEAKD]
NO [NORES2D1]
DON’T KNOW [NORES2D1]
>NORES2D1<
Is there anyone at this number who might be familiar with our interviewer?
<1>
YES, RESPONDENT IS [D1]
5
<2>
<3>
YES, SOMEONE ELSE IS [SPEAKD]
NO [DONED]
DON’T KNOW [DONED]
>SPEAKD<
May I speak with this person?
<1>
<2>
YES [if cell number, go to Cell_Res1, else INTRO2AD]
NO (THIS RESPONSE WILL TAKE YOU TO THE CALLBACK SCREEN) [CALLBACK]
>Cell_Res1<
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1>
<2>
<8>
<9>
Yes [INTRO2AD]
No [END]
Schedule a callback [END]
Other Codes [END]
>INTRO2AD<
(Hello, my name is _____________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored. Are you familiar with
(address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
YES [D1]
NO [NORES3D]
>NORES3D<
I was given this telephone number to verify that our interviewer made contact with someone that either
lives at or is knowledgeable about (address). Is there anyone at this number who might be familiar with
(address)?
<1>
<2>
<3>
YES, RESPONDENT IS [D1]
YES, SOMEONE ELSE IS [SPEAKD2]
NO [NORES3D1]
DON’T KNOW [NORES3D1]
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>NORES3D1<
Is there anyone at this number who might be familiar with our interviewer?
<1>
<2>
<3>
YES, RESPONDENT IS [D1]
YES, SOMEONE ELSE IS [SPEAKD2]
NO [DONED]
DON’T KNOW [DONED]
>SPEAKD2<
May I speak with this person?
<1>
<2>
YES [if cell number, go to Cell_Res2, else INTRO2AE]
NO (THIS RESPONSE WILL TAKE YOU TO THE CALLBACK SCREEN) [CALLBACK]
>Cell_Res2<
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [INTRO2AE]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>INTRO2AE<
(Hello, my name is _____________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. This will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored. Are you familiar with
(address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
YES [D1]
NO [NORES3D2]
>NORES3D2<
I was given this telephone number to verify that our interviewer made contact with someone that either
lives at or is knowledgeable about (address). Are you familiar with (address)?
<1>
YES, RESPONDENT IS [D1]
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<2>
NO [NORES3D3]
DON’T KNOW [NORES3D3]
>NORES3D3<
Are you familiar with our interviewer?
<1>
<2>
YES, RESPONDENT IS [D1]
NO [DONED]
DON’T KNOW [DONED]
>Cell_Res3<
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [D1INTRO]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>D1INTRO<
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
PRESS <1> TO CONTINUE... [D1]
>D1<
IF SCREENING CODE 10, GO TO D1_10A
IF SCREENING CODE 13, GO TO D1_13A
IF SCREENING CODE 18, GO TO D1_18A
IF SCREENING CODE 26, GO TO D1_26INT
>D1_10A<
Has (address) been vacant any time within recent weeks?
<1>
<2>
YES [D2]
NO [D1_10B]
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DON’T KNOW [D1_10B]
>D1_10B<
Let me verify, was (address) vacant on or around (Screening Date)?
<1>
<2>
YES [D2]
NO [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_13A<
(Do/Did) the people who own or occupy (address) reside somewhere else for most of the time during the
three-month period of (3-month quarter field period)?
<1>
<2>
YES [D2]
NO [D1_13B]
DON’T KNOW [D1_13C]
>D1_13B<
Let me verify, (will/did) the people who own or occupy (address) stay somewhere else for at least half of
the time during the three-month period of (3-month quarter field period)?
<1>
<2>
YES [D2]
NO [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_13C<
To the best of your knowledge, (will/did) the people who own or occupy (address) stay somewhere else for
at least half of the time during the three-month period of (3-month quarter field period)?
<1>
<2>
YES [D2]
NO [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_18A<
Is (address) a business, military barracks, hotel or motel, a place that was demolished or does not exist, or
another type of place that is not a residence?
<1>
<2>
YES [D2]
NO [D1_18B]
DON’T KNOW [D1_18B]
>D1_18B<
We are trying to distinguish places that are residences such as houses, town houses, apartments, and college
dormitories from the types of places I just mentioned.
To the best of your knowledge, is (address) a business, military barracks, hotel or motel, a place that was
demolished or does not exist, or another type of place that is not a residence?
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<1>
<2>
YES [D2]
NO [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_26INT<
Are you currently living at or have you recently lived at (address)?
<1>
<2>
YES [D1_26A]
NO [D1_26D]
>D1_26A<
Our records indicate that no one in your household (is going to live/lived) at (address) for most of the time
during the months of (3-month quarter field period). Is this correct?
<1>
<2>
YES (NO ONE IN HH WILL/DID LIVE THERE FOR MOST OF THE TIME) [D2]
NO (R STATES SOMEONE (WILL/DID) LIVE THERE FOR MOST OF THE TIME DURING
THE FIELD PERIOD.) [D1_26B]
DON’T KNOW [D1_26C]
>D1_26B<
Let me verify, (will/did) you or someone in your household live at (address) for at least half of the time
during the three-month period of (3-month quarter field period)?
<1>
<2>
YES (SOMEONE IN HH WILL/DID LIVE THERE FOR MOST OF THE TIME) [D2]
NO (SOMEONE IN HH WILL/DID NOT LIVE THERE FOR MOST OF THE TIME) [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_26C<
To the best of your knowledge, (will/did) someone from your household live at (address) for at least half
of the time during the three-month period of (3-month quarter field period)?
<1>
<2>
YES (SOMEONE IN HH WILL/DID LIVE THERE FOR MOST OF THE TIME) [D2]
NO (SOMEONE IN HH WILL/DID NOT LIVE THERE FOR MOST OF THE TIME) [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_26D<
(Will/Did) the people who resided at (address) as of (Screening date) live there for most of the time during
the months of (3-month quarter field period)?
<1>
<2>
YES (R STATES THESE RESIDENTS (WILL/DID) LIVE THERE FOR MOST OF THE TIME
DURING THE FIELD PERIOD.) [D1_ 26E]
NO [D2]
DON’T KNOW [D1_26F]
>D1_26E<
Let me verify, (will/did) the people who resided at (address) as of (Screening date) live there for at least
10
half of the time during the three-month period of (3-month quarter field period)?
<1>
<2>
YES (SOMEONE IN HH WILL/DID LIVE THERE FOR MOST OF THE TIME) [D2]
NO (SOMEONE IN HH WILL/DID NOT LIVE THERE FOR MOST OF THE TIME) [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D1_26F<
To the best of your knowledge, (will/did) the people who resided at (address) as of (Screening date) live
there for at least half of the time during the three-month period of (3-month quarter field period)?
<1>
<2>
YES (SOMEONE IN HH WILL/DID LIVE THERE FOR MOST OF THE TIME) [D2]
NO (SOMEONE IN HH WILL/DID NOT LIVE THERE FOR MOST OF THE TIME) [D2]
DON’T KNOW [D2]
REFUSE [D2]
>D2<
Did you personally speak with our interviewer?
<1>
<2>
YES [IPRFD]
NO [DONED]
>IPRFD<
Was the interviewer polite and did the interviewer treat you professionally?
<1>
<2>
YES [DONED]
NO [ELB1D]
>ELB1D<
Would you please tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER “NONE”. [DONED]
>DONED<
Assign value 1 (DONED = 1).
If any of the problem, flag for call back team is set to ‘Y’ then go to FLAGD
else go to EXITD.
>EXITD<
Those are all the questions I have. Thank you very much for your time.
Have a good (evening/day).
ENTER <1> TO CONTINUE AND EXIT THE INSTRUMENT
>FLAGD<
11
Thank you for answering those questions. I would like to confirm a few of your responses for accuracy
(Just to confirm, to the best of your knowledge…)
ENTER TO CONTINUE.
>FLAG61<
{INTRO1D =1or 2 and D2 = 2}
You were not contacted by the interviewer?
<1>
<2>
>FLAG62<
YES, I WAS CONTACTED [EXITD or next flag]
NO, I WAS NOT CONTACTED [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
{D1_10B = 2}
(address) was not vacant on or around (Screening date)
TI NOTE: IF THE RESPONDENT DOES NOT UNDERSTAND WHAT YOU MEAN BY VACANT,
YOU CAN SAY EMPTY OR NO ONE LIVING THERE,
<1>
<2>
>FLAG63<
YES, IT WAS VACANT [EXITD or next flag]
NO [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
{D1_13B = 2 or D1_13C = 2}
Was anyone staying or living at (address) for most of the time during (3-month quarter field period)?
<1>
<2>
>FLAG64<
YES, SOMEONE LIVED THERE FOR MOST THE QUARTER [EXITD or next flag]
NO [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
{D1_18B = 2}
(address) is a not a residence where someone lives, but is a business, military barracks, hotel or motel, and
place that was demolished or does not exist?
<1>
<2>
>FLAG65<
YES, IT IS NOT A RESIDENCE [EXITD or next flag]
NO [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
{D1_26B = 1 or D1_26C = 1}
Did anyone in the household live at (address) for most of (3-month quarter field reference)?)
<1>
<2>
>FLAG66<
YES, SOMEONE LIVED THERE FOR MOST THE QUARTER [EXITD or next flag]
NO [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
{D1_26E =1 or D1_26F = 1}
12
The people who reside at (address) as of (Screening date) did live there for at least half of the time during
the three-month period of (3-month quarter field period)?
<1>
<2>
>FLAG67_10<
YES, THEY LIVED THERE [EXITD or next flag]
NO [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
D1_10B = DK
You do not know if (address) was empty on or around (Screening date)?
<1>
<2>
>Flag67_13<
YES. IT WAS EMPTY [EXITD or next flag]
NO, SOMEONE LIVES THERE [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
D1_13B = DK
You do not know if someone was living at (address) for at least half of the time during the three-month
period of (3-month quarter field period)?
<1>
<2>
>FLAG67_13A<
YES, SOMEONE WAS LIVING THERE [EXITD or next flag]
NO ONE LIVED THERE FOR AT LEAST HALF THE QUARTER [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
D1_13C = DK
You do not know if (address) was occupied for at least half of the time during the three-month period of
(3-month quarter field period)?
<1>
<2>
>FLAG67_18<
YES, IT WAS OCCUPIED [EXITD or next flag]
NO, IT WAS NOT OCCUPIED [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
D1_18B = DK
You do not know if (address) is a residence or not?
<1>
<2>
>FLAG67_26<
YES, IT IS A RESIDENCE [EXITD or next flag]
NO, IT IS NOT A RESIDENCE [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
D1_26B = DK
You do not know if (address) was occupied for at least half of the time during the three-month period of
(3-month quarter field period)?
<1>
<2>
YES, IT WAS OCCUPIED [EXITD or next flag]
NO, IT WAS NOT OCCUPIED [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
13
>Flag67_26A<
REFUSE [EXITD or next flag]
D1_26C = DK
You do not know if (address) was occupied for at least half of the time during the three-month period of
(3-month quarter field period)?
<1>
<2>
>Flag67_26B<
YES, IT WAS OCCUPIED [EXITD or next flag]
NO, IT WAS NOT OCCUPIED [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
D1_26E = DK
You do not know if (address) was occupied for at least half of the time during the three-month period of
(3-month quarter field period)?
<1>
<2>
>Flag67_26C
YES, IT WAS OCCUPIED [EXITD or next flag]
NO, IT WAS NOT OCCUPIED [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
D1_26F = DK
You do not know if (address) was occupied for at least half of the time during the three-month period of
(3-month quarter field period)?
<1>
<2>
>FLAG70<
YES, IT WAS OCCUPIED [EXITD or next flag]
NO, IT WAS NOT OCCUPIED [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
{NORES2D = DK OR NORES3D = DK OR NORES3D2 = DK}
You are not familiar with (address)?
<1>
<2>
YES. I AM FAMILIAR [EXITD or next flag]
NO [EXITD or next flag]
DON’T KNOW [EXITD or next flag]
REFUSE [EXITD or next flag]
14
Verification Script for Code 22
General Information:
All skips or routing instructions to be programmed are noted next to response in brackets [ ]
Sex = male/female
Gender = male/female/ transgender/[DIFTERM FILL]
All fills are designated by italics text in parentheses (address)
(FI Description): FIs official name, unless we have a FI nickname
Program fill for past or future tense as follows:
Use the first portion of the fill (will live/lived)
If Qtr 1 and call is before Feb 15, else use second portion
If Qtr 2 and call is before May 15, else use second portion
If Qtr 3 and call is before August 15, else use second portion
If Qtr 4 and call is before November 15, else use second portion
Use the first portion of the fill (will/did)
If Qtr 1 and call is before Feb 15, else use second portion
If Qtr 2 and call is before May 15, else use second portion
If Qtr 3 and call is before August 15, else use second portion
If Qtr 4 and call is before November 15, else use second portion
Program fill for (3-month quarter field period)
Qtr 1= January, February, March
Qtr 2= April, May, June
Qtr 3= July, August, September
Qtr 4 = October, November, December
Screening Date fill: Date of final Screening Code
Fills: (first name/a resident of this household) If first name available from data, use this in fill – otherwise, use “a
resident of this household”.
Fill (were/was) - Question >C1C< uses this fill. It can either be programmed to use “were” if there are multiple HH
members and “was” if there is one HH member OR we can just offer (were/was) in the script and the TI can select
the proper fill.
(Roster Data): Age, sex, gender, race for each HH member
(Screening Date) fill: Date of final Screening Code
The responses from the following variable items will need to be available for a frequency or data dump by request:
INTROSPC (verbatim elaboration on other respondent being available)
C2A2ELB (verbatim elaboration on how the respondent was contacted some other way)
ELB1C (verbatim elaboration on how the FI was not professional)
15
Screening Information Provided for Codes 22:
CaseID
Phone number (designates home or work phone)
Address
Notes to Verification Caller [Additional data from Samsung Galaxy Tablet]
First Name
Screening Date (date of final Screening code)
Roster Data
16
Screening Script:
>INTROC<
May I speak to (first name)?
<1>
<2>
<3>
<4>
<5>
<6>
<7>
SPEAKING TO TARGET RESPONDENT [C1INTRO]
RESPONDENT AVAILABLE (NOT SPEAKING TO TARGET) [if cell number, go to
Cell_Res1, else C1INTRO]
RESPONDENT UNAVAILABLE [NORES1AC]
RESPONDENT UNKNOWN [NORES1AC]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [NORES1AC]
OTHER [INTROSPC]
RESPONDENT KNOWN, BUT DOES NOT SPEAK ENGLISH OR SPANISH [NORES1AC]
>INTROSPC<
ENTER RESPONDENT’S ANSWER VERBATIM.
[NORES1AC]
>NORES1AC<
OK, perhaps you can help me. (My name is ____________. I am calling from RTI International regarding
a study sponsored by the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored. Are you or anyone else at
this number familiar with (address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
<3>
YES, RESPONDENT IS [C1A]
YES, SOMEONE ELSE IS [SPEAKC]
NO [NORES2C]
DON’T KNOW [NORES2C]
>NORES2C<
I was given this telephone number to verify that our interviewer made contact with someone that either
lives at or is knowledgeable about (address). Is there anyone at this number who might be familiar with
(address)?
<1>
<2>
<3>
YES, RESPONDENT IS [C1A]
YES, SOMEONE ELSE IS [SPEAKC]
NO [NORES2C1]
DON’T KNOW [NORES2C1]
>NORES2C1<
Is there anyone at this number who might be familiar with our interviewer who would have asked questions
such as how many people live in this household, their ages and race?
17
<1>
<2>
<3>
YES, RESPONDENT IS [C1A]
YES, SOMEONE ELSE IS [SPEAKC]
NO [DONEC]
DON’T KNOW [DONEC]
>SPEAKC<
May I speak with this person?
<1>
<2>
YES [if cell number, go to Cell_Res1, else C1INTRO]
NO (THIS RESPONSE WILL TAKE YOU TO THE CALLBACK SCREEN) [CALLBACK]
>Cell_Res1<
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [C1INTRO]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>C1INTRO<
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored. Are you familiar with
(address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
YES [C1A]
NO [NORES3C]
DON’T KNOW [NORES3C]
>NORES3C<
I was given this telephone number to verify that our interviewer made contact with someone that either
lives at or is knowledgeable about (address). Is there anyone at this number who might be familiar with
(address)?
<1>
<2>
YES, RESPONDENT IS [C1A]
YES, SOMEONE ELSE IS [SPEAKC2]
18
<3>
NO [NORES3C1]
DON’T KNOW [NORES3C1]
>NORES3C1<
Is there anyone at this number who might be familiar with our interviewer who would have asked questions
such as how many people live in this household, their ages and race?
<1>
<2>
<3>
YES, RESPONDENT IS [C1A]
YES, SOMEONE ELSE IS [SPEAKC2]
NO [DONEC]
DON’T KNOW [DONEC]
>SPEAKC2<
May I speak with this person?
<1>
<2>
YES [if cell number, go to Cell_Res2, else C1INTRO2]
NO (THIS RESPONSE WILL TAKE YOU TO THE CALLBACK SCREEN) [CALLBACK]
>Cell_Res2<
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [C1INTRO2]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>C1INTRO2<
(Hello, my name is _____________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that someone at this number was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
Are you familiar with (address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
YES [C1A]
NO [NORES3C2]
DON’T KNOW [NORES3C2]
19
>NORES3C2<
I was given this telephone number to verify that our interviewer made contact with someone that either
lives at or is knowledgeable about (address). Are you familiar with (address)?
<1>
<2>
YES [C1A]
NO [NORES3C3]
DON’T KNOW [NORES3C3]
>NORES3C3<
Are you familiar with our interviewer who would have asked questions such as how many people live in
this household, their ages and race?
<1>
<2>
YES [C1A]
NO [DONEC]
DON’T KNOW [DONEC]
>C1A<
Thinking of (address), were all occupants between the ages of 17- 65 on active military duty during recent
weeks?
<1>
<2>
YES [C1D]
NO [C1B]
DON’T KNOW [C1C]
REFUSED [C1C]
>C1B<
Let me verify, were all household members between the ages if 17-65 who were living at (address) on or
around (Screening Date) on active military duty?
<1>
<2>
YES [C1D]
NO [C1D]
DON’T KNOW [C1C]
REFUSED [C1C]
>C1C<
To the best of your knowledge, (were/was)
(Roster Data)
on active military duty on or around (Screening Date)?
TI NOTE: FOR EACH PERSON ON THE ROSTER, IF SEX AND GENDER ARE THE SAME, OR
REFUSED OR DON’T KNOW IS GIVEN FOR GENDER,YOU MAY READ AGE AND SEX. IF A
ROSTER MEMBER’S SEX AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR
EXAMPLE, A 24-YEAR-OLD MALE WHO IDENTIFIES AS FEMALE, OR FOR MULTIPLE
GENDER SELECTIONS, A 24-YEAR-OLD MALE WHO IDENTIFIES AS MALE AND
TRANSGENDER).
<1>
<2>
YES [C1D]
NO [C1D]
DON’T KNOW [C1D]
20
REFUSED [CID]
>C1D<
Were there any occupants age 12 – 16 or 66 and older, living at (address) during recent weeks?
<1>
<2>
YES [C1E]
NO [C2A1]
DON’T KNOW [C2A1]
REFUSE [C2A1]
>C1E<
Thinking of the occupants age 12 – 16 or 66 and older, (will/did) they live at (address) for most of the time
during the months of (3-month quarter field period)?
<1>
<2>
YES [C2A1]
NO [C2A1]
DON’T KNOW [C2A1]
REFUSE [C2A1]
>C2A1<
Did the interviewer talk with you face-to-face at your home?
<1>
<2>
YES [IPRFC]
NO [C2A2]
>C2A2<
How did you speak with the interviewer?
<1>
<2>
<3>
<4>
<5>
<6>
VISIT AT HOME [IPRFC]
FRONT DESK TELEPHONE/INTERCOM [IPRFC]
TELEPHONE [C2B]
BOTH VISIT AT HOME AND TELEPHONE CONTACT [C2B]
RESPONDENT WAS NOT CONTACTED BY INTERVIEWER [C2C]
SOME OTHER WAY [C2A2ELB]
>C2A2ELB<
Please tell me how you were contacted.
ENTER COMMENTS UP TO 150 CHARACTERS.
IF DURING THE COURSE OF ELABORATION, IT BECOMES APPARENT THAT THE CONTACT
WAS IN PERSON OR OVER THE PHONE, BACK UP AND RE-CODE C2A2. [IPRFC]
>C2B<
When the interviewer called you by telephone, did the interviewer make an appointment to see you or did
the interviewer complete our survey by telephone asking questions such as how many people live in this
household and what are their ages and race?
<1>
<2>
MADE APPOINTMENT ONLY [IPRFC]
COMPLETED SURVEY QUESTIONS [IPRFC]
21
DON’T KNOW [IPRFC]
REFUSE [IPRFC]
>C2C<
Our interviewer would have been wearing a white badge with a picture I.D. The interviewer would have
asked questions like how many people live in this household, what are their ages and race. Do you
remember this person?
<1>
<2>
YES [IPRFC]
NO [DONEC]
>IPRFC<
Was the interviewer polite and did the interviewer treat you professionally?
<1>
<2>
YES [DONEC]
NO [ELB1C]
>ELB1C<
Would you please tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER “NONE”. [DONEC]
>DONEC<
Assign value 1 (DONEC = 1).
If any of problem, flag for call back team is set to ‘Y’ then go to FLAGC
else go to EXITC.
>EXITC<
Those are all the questions I have. Thank you very much for your time.
Have a good (evening/day).
ENTER <1> TO CONTINUE AND EXIT THE INSTRUMENT
>FLAGC<
Thank you for answering those questions. I would like to confirm a few of your responses for accuracy.
There are some discrepancies I wanted to quickly address before we end the call.
(Just to confirm, to the best of your knowledge…)
ENTER TO CONTINUE.
>Flag50<
C2C=2 or NORES2C1=3 or NORES3C1=3 or NORES3C3 = 2 –
No one in the household was contacted by our interviewer who would have asked questions such as how
22
many people live in this household, their ages and race?
<1>
<2>
>Flag50DK<
YES, SOMEONE WAS CONTACTED [EXITC or next flag]
NO ONE WAS CONTACTED [EXITC or next flag]
DON’T KNOW [EXITC or next flag]
REFUSE [EXITC or next flag]
NORES2C1= DK or NORES3C1= DK or NORES3C3 = DK –
You do not know whether you or someone else at (address) was contacted by our interviewer who would
have asked questions such as how many people live in this household, their ages and race?
<1>
<2>
>Flag52<
YES, SOMEONE WAS CONTCTED [EXITC or next flag]
NO ONE WAS CONTACTED [EXITC or next flag]
DON’T KNOW [EXITC or next flag]
REFUSED
[EXITC or next flag]
C1C = DK or RE or C1D= DK or RE or C1E =DK or RE
Residents that are not in the military are eligible to participate in the survey. Previously, you refused or
said you didn’t know if all residents aged 17-65 were on active military status, or if there were residents
aged 12-16 or 66 and older living at (address) in recent weeks.
This information is kept confidential and it is important we have correct data.
Were there any residents at (address) aged 17-65 or aged 12-16 or 66 and older who were not in active
military status in recent weeks?
<1>
<2>
>Flag53<
YES
[EXITC or next flag]
NO, ALL ACTIVE MILITARY [EXITC or next flag]
DON’T KNOW [EXITC or next flag]
REFUSED
[EXITC or next flag]
C1B = 2 or C1C= 2 –
There were household members between the ages of 17-65 living at (address) on or around (Screening
Date) who were not on active military duty?
<1>
<2>
>Flag54<
YES [EXITC or next flag]
NO, ALL ACTIVE MILITARY [EXITC or next flag]
DON’T KNOW [EXITC or next flag]
REFUSED
[EXITC or next flag]
C2B=2 –
You mentioned completing the screening over the telephone and not face to face. The interviewer never
spoke to you in person?
<1>
<2>
>Flag59<
YES, SPOKE IN PERSON [EXITC or next flag]
NO [EXITC or next flag]
DON’T KNOW [EXITC or next flag]
REFUSED
[EXITC or next flag]
C1E = 1-
23
Were there any occupants age 12 – 16 or 66 and older, living at (address) for most of the time during the
months of (3-month quarter field period)?
<1>
<2>
YES [EXITC or next flag]
NO [EXITC or next flag]
DON’T KNOW [EXITC or next flag]
REFUSED
[EXITC or next flag]
24
Verification Script for Code 30
General Information:
All skips or routing instructions to be programmed are noted next to response in brackets [ ]
Sex = male/female
Gender = male/female/transgender/[DIFTERM FILL]
All fills are designated by italics text in parentheses (address)
(FI Description): FIs official name, unless we have a FI nickname
Program fill for past or future tense as follows:
Use the first portion of the fill (will live/lived)
If Qtr 1 and call is before Feb 15, else use second portion
If Qtr 2 and call is before May 15, else use second portion
If Qtr 3 and call is before August 15, else use second portion
If Qtr 4 and call is before November 15, else use second portion
Program fill for (3-month quarter field period)
Qtr 1= January, February, March
Qtr 2= April, May, June
Qtr 3= July, August, September
Qtr 4 = October, November, December
Program fill for (HH Count Noun)
If number rostered is 1 = person
If number rostered is >1 = people
Program fill for (HH Count Noun 2)
If number rostered is 1 = whether this person identifies as male, female, transgender, or other
If number rostered is >1 = how many of these people identify as male, female, transgender, or
other
Program fill for (this/these):
If number rostered is 1 = person
If number rostered is >1 = people
(Screening Date) fill: Date of final Screening Code
(Roster Data): age, sex, gender, race of each HH member
(city, state and zip code): city, state and zip code for address
(number rostered): total number of people in roster
Fills: (first name/a resident of this household) If first name available from data, use this in fill – otherwise, use “a
resident of this household”.
The responses from the following variable items will need to be available for a frequency or data dump by request:
B1AELB1 (verbatim elaboration on how the respondent spoke to the FI some other way)
B1AELB2 (verbatim elaboration on how the respondent spoke to FI some other way)
25
B1D2 (verbatim elaboration on FI being at correct address but wrong roster)
B1D3 (verbatim elaboration on FI being at wrong address but right roster)
B1D4 (verbatim elaboration on FI being at wrong address and wrong roster
B1D5 (verbatim elaboration on the roster being incorrect)
B3B1 (verbatim elaboration on street number or name discrepancy)
B4B1 (verbatim elaboration on city, state, zip code discrepancy)
DESROSB (verbatim elaboration on roster discrepancy)
DESROSC (verbatim elaboration on roster discrepancy)
ELB1B (verbatim elaboration FI not being professional)
FLAG45no (verbatim elaboration on the roster being incorrect)
FLAG47REF2 (verbatim elaboration on the roster being incorrect)
B3REF2 (verbatim elaboration on the address being incorrect)
Screening Information Provided for Code 30:
CaseID
Phone number (designates home or work phone)
Address
Notes to Verification Caller [Additional data from Samsung Galaxy Tablet]
First Name
Screening Date (date of final Screening code)
Roster Data
26
Screening Script:
>INTROB<
May I speak to (first name)?
<1>
<2>
<3>
<4>
<5>
<6>
<7>
SPEAKING TO TARGET RESPONDENT [B1INTRO]
RESPONDENT AVAILABLE (NOT SPEAKING TO TARGET] [if cell number, go to
Cell_Res1, else B1INTRO]
RESPONDENT UNAVAILABLE [CALLBACK]
RESPONDENT UNKNOWN [UNAVAILB]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [UNAVAILB]
RESPONDENT KNOWN, BUT DOES NOT SPEAK ENGLISH OR SPANISH [UNAVAILB]
RESPONDENT KNOWN, BUT UNAVIALALBE MUTLIPLE TIMES [UNAVAILB]
>UNAVAILB<
OK, perhaps you can help me. (My name is ____________. I am calling from RTI International regarding
a study sponsored by the U.S. Department of Health and Human Services.)
Our records indicate that (first name) was contacted concerning (address).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
Is this the correct phone number for (address)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
YES [B1PROXY]
NO [DONEB]
>B1PROXY<
Did you speak to our interviewer?
<1>
<2>
YES [B1A]
NO [B1C]
>Cell_Res1<
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [B1INTRO]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
27
>B1INTRO<
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that you were contacted by one of our interviewers on (screening date).
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
ENTER (1) TO CONTINUE... [B1A]
>B1A<
Did the interviewer talk with you face-to-face at your home?
<1> YES [B2A]
<2> NO [B1A2]
>B1A2<
How did you speak with the interviewer?
<1>
<2>
<3>
<4>
<5>
<6>
VISIT AT HOME [B2A]
FRONT DESK TELEPHONE/INTERCOM [B2A]
TELEPHONE [B1B]
BOTH VISIT AT HOME AND TELEPHONE CONTACT [B1B]
RESPONDENT WAS NOT CONTACTED BY INTERVIEWER [B1C]
SOME OTHER WAY [B1AELB1]
>B1AELB1<
Please tell me how you were contacted.
ENTER COMMENTS UP TO 150 CHARACTERS.
IF DURING THE COURSE OF ELABORATION, IT BECOMES APPARENT THAT THE CONTACT
WAS IN PERSON OR OVER THE PHONE, BACK UP AND RE-CODE B1A2. [B2A]
>B1B<
When the interviewer called you by telephone, did the interviewer make an appointment to see you or did
the interviewer complete our survey by telephone asking questions such as how many people live in this
household and what are their ages and race?
<1>
<2>
MADE APPOINTMENT ONLY [B2A]
COMPLETED SCREENING QUESTIONS [B2A]
DON’T KNOW [B1C]
REFUSE [B2A]
>B1C<
28
Our interviewer would have been wearing a white badge with a picture I.D. The interviewer would have
asked questions like how many people live in this household, what are their ages and race. Do you
remember this person?
<1>
<2>
YES [B1A3]
NO [B1D]
>B1A3<
Did the interviewer talk with you face-to-face at your home?
<1>
<2>
YES [B2A]
NO [B1A4]
>B1A4<
How did you speak with the interviewer?
<1>
<2>
<3>
<4>
<5>
<6>
VISIT AT HOME [B2A]
FRONT DESK TELEPHONE/INTERCOM [B2A]
TELEPHONE [B1B2]
BOTH VISIT AT HOME AND TELEPHONE CONTACT [B1B2]
RESPONDENT WAS NOT CONTACTED BY INTERVIEWER [B1D]
SOME OTHER WAY [B1AELB2]
>B1AELB2<
Please tell me how you were contacted.
ENTER COMMENTS UP TO 150 CHARACTERS.
IF DURING THE COURSE OF ELABORATION, IT BECOMES APPARENT THAT THE CONTACT
WAS IN PERSON OR OVER THE PHONE, BACK UP AND RE-CODE B1A4. [B2A]
>B1B2<
When the interviewer called you by telephone, did the interviewer) make an appointment to see you or did
the interviewer complete our survey by telephone asking questions such as how many people live in this
household and what are their ages and race?
<1>
<2>
MADE APPOINTMENT ONLY [B2A]
COMPLETED SCREENING QUESTIONS [B2A]
DON’T KNOW [B2A]
REFUSE [B2A]
>B1D<
According to our interviewer, including yourself, the following (HH Count Noun) age 12 or older (will
live/lived) at (address) for most of the time during the months of (3-month quarter field period):
(Roster Data)
Is this information correct?
29
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME, OR REFUSED OR DON’T KNOW IS
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)).
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. A DIFFERENCE IN AGE OF BETWEEN
1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER SHOULD NOT
BE INCLUDED ON ROSTER.
<1>
<2>
<3>
<4>
>B1D2<
CORRECT ADDRESS, CORRECT INFORMATION [DONEB]
CORRECT ADDRESS, WRONG INFORMATION [B1D2]
WRONG ADDRESS, CORRECT INFORMATION [B1D3]
WRONG ADDRESS, WRONG INFORMATION [B1D4]
DON’T KNOW [B1D6]
REFUSE [B1D6]
{B1D=2}
Would you please describe what is incorrect about the information?
(Roster data)
TI NOTE: YOU MAY READ ROSTER DATA TO RESPONDENT, CONFIRMING AGE AND SEX
and/or GENDER. IF A ROSTER MEMBER’S SEX AND GENDER ARE THE SAME, OR REFUSED
OR DON’T KNOW IS GIVEN FOR GENDER,READ AGE AND SEX. IF A ROSTER MEMBER’S SEX
AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD
MALE WHO IDENTIFIES AS FEMALE OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAROLD MALE WHO IDENTIFIES AS MALE AND TRANSGENDER.)
ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF BETWEEN 1 & 2
YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER SHOULD NOT BE
INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER REFUSED IF RESPONDENT REFUSES TO PROVIDE CORRECT INFORMATION
ENTER RESPONDENT’S ANSWER VERBATIM [DONEB]
>B1D3<
{B1D=3}
Would you please provide the correct address or describe what about this address is incorrect?
(address)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER REFUSED IF RESPONDENT REFUSES TO PROVIDE CORRECT INFORMATION
ENTER RESPONDENT’S ANSWER VERBATIM [DONEB]
>B1D4<
{B1D=4}
30
Would you please provide the correct address or describe what about this address is incorrect?
(address)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER REFUSED IF RESPONDENT REFUSES TO PROVIDE CORRECT INFORMATION
ENTER RESPONDENT’S ANSWER VERBATIM [B1D5]
>B1D5<
Flag #34
Would you please describe what is incorrect about the household roster?
(Roster data)
TI NOTE: FOR EACH PERSON ON THE ROSTER, IF SEX AND GENDER ARE THE SAME, OR
REFUSED OR DON’T KNOW IS GIVEN FOR GENDER, YOU MAY READ AGE AND SEX. IF A
ROSTER MEMBER’S SEX AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR
EXAMPLE, A 24-YEAR-OLD MALE WHO IDENTIFIES AS FEMALE, OR FOR MULTIPLE
GENDER SELECTIONS, A 24-YEAR-OLD MALE WHO IDENTIFIES AS MALE AND
TRANSGENDER.)
TI NOTE: YOU MAY READ ROSTER DATA TO RESPONDENT. ROSTER AGES DO NOT NEED
TO BE EXACT. AN AGE DISCREPANCY OF BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS
CORRECT. CHILDREN AGE 11 OR YOUNGER SHOULD NOT BE INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER REFUSED IF RESPONDENT REFUSES TO PROVIDE CORRECT INFORMATION
ENTER RESPONDENT’S ANSWER VERBATIM [DONEB]
>B1D6<
Flag #35 [B1C = 2 and (B1D=DK or RE)]
To the best of your knowledge, including yourself, the following (HH Count Noun) age 12 or older (will
live/lived) at (address) for most of the time during the months of (3-month quarter field period):
(Roster Data)
Is this information correct?
TI NOTE: FOR EACH PERSON ON THE ROSTER, IF SEX AND GENDER ARE THE SAME, OR
REFUSED OR DON’T KNOW IS GIVEN FOR GENDER, YOU MAY READ AGE AND SEX. IF A
ROSTER MEMBER’S SEX AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR
EXAMPLE, A 24-YEAR-OLD MALE WHO IDENTIFIES AS FEMALE, OR FOR MULTIPLE
GENDER SELECTIONS, A 24-YEAR-OLD MALE WHO IDENTIFIES AS MALE AND
TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. A DIFFERENCE IN AGE OF BETWEEN
1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER SHOULD NOT
BE INCLUDED ON ROSTER.
<1>
<2>
<3>
CORRECT ADDRESS, CORRECT INFORMATION [DONEB]
CORRECT ADDRESS, WRONG INFORMATION [DONEB]
WRONG ADDRESS, CORRECT INFORMATION [DONEB]
31
<4>
WRONG ADDRESS, WRONG INFORMATION [DONEB]
DON’T KNOW [DONEB]
REFUSE [DONEB]
>B2A<
According to our interviewer, including yourself, (number rostered) (HH Count Noun) age 12 or older
(will live/lived) in your household for most of the time during the months of (3-month quarter field period).
Is this correct?
<1>
<2>
YES [GENDR2]
NO [DESROSB]
DON’T KNOW [B2B]
REFUSE [B2B]
>GENDR2<
{B2A=1}
Thinking about (this/these) (number rostered) (HH Count Noun), including yourself, could you please tell
me (HH Count Noun 2)?
TI NOTE: DO NOT READ ROSTER DATA TO RESPONDENT. IF THE NUMBER OF GENDERS IS
CORRECT, SELECT CORRECT. IF THEY DO NOT MATCH SELECT INCORRECT AND RECORD
THE RESPONDENT’S ANSWER IN THE FOLLOWING QUESTION.
(Roster data)
<1>
<2>
CORRECT [B2B]
INCORRECT [DESROSB]
DON’T KNOW [B2B]
REFUSE [B2B]
>DESROSB<
{B2A=2 or GENDR2=2}
According to our interviewer, the following (HH Count Noun) age 12 or older (will live/lived) in your
household for most of the time during the months of (3-month quarter field period)?
(Roster data)
Would you please describe what is incorrect about the information?
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME, OR REFUSED OR DON’T KNOW IS
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE, OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS. IF IT BECOMES CLEAR THE
RESPONDENT WAS CONFUSED BY THE PREVIOUS QUESTION, GO BACK TO THE QUESTION
AND REREAD/PROBE FOR CLARITY.
ENTER RESPONDENT’S ANSWER VERBATIM [B3]
32
>B2B<
{B2A=F3, F4 or GENDR2=1, F3, F4}
According to our interviewer, the following (HH Count Noun) age 12 or older (will live/lived) in your
household for most of the time during the months of (3-month quarter field period)?
(Roster data)
Is this information correct?
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME, OR REFUSED OR DON’T KNOW IS
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE, OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
<1>
<2>
YES [B3]
NO [DESROSC]
DON’T KNOW [B3]
REFUSE [B3]
>DESROSC<
{B2B=2}
Would you please describe what is incorrect about the information?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM [B3]
>B3<
{DESROSB, B2B=1, F3, F4, DESROSC}
It is important that the interviewer visited the correct address. Can you please provide the street number
and street name for the address where you lived when the interviewer contacted you? Please include the
apartment or unit number as well.
TI NOTE: DO NOT READ ADDRESS TO RESPONDENT. IF THE STREET NUMBER AND NAME
MATCH THIS INFORMATION, SELECT CORRECT. IF THEY DO NOT MATCH SELECT
INCORRECT.
(address)
TI NOTE: IF RESPONDENT PROVIDES THE CORRECT STREET NUMBER AND NAME BUT NOT
THE UNIT NUMBER OR STREET INDENTIFIER, YOU SHOULD PROVIDE THE MISSING
INFORMATION TO THE RESPONDENT TO CONFIRM IT IS ACCURATE.
<1>
<2>
> B3REF<
CORRECT [B4]
INCORRECT [B3B1]
DON’T KNOW [B3DK]
REFUSE [B3REF]
{B3=RF}
33
Again, it is important that the interviewer visited the correct address. Would you be willing to confirm the
address if I provide it to you?
<1>
<2>
>B3DK<
YES [B3REF1]
NO [IPRFB]
{B3=DK}
If I provide the address, would this help you remember?
<1>
<2>
> B3REF1<
YES [B3REF1]
NO [IPRFB]
{B3REF =1 or B3DK=1}
Our records indicate the address for this phone number is (address). Is this correct?
<1>
<2>
CORRECT [B4]
INCORRECT [B3REF2]
DON’T KNOW [IPRFB]
REFUSE [IPRFB]
>B3REF2<
{B3REF1=2}
(Would you please provide the correct address or tell me what about this address is incorrect?)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER REFUSED IF RESPONDENT REFUSES TO PROVIDE CORRECT ADDRESS OR INDICATE
WHAT THE DISCREPANCY IS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [B4]
>B3B1<
{B3=2}
(Can you please repeat that?)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [B4]
>B4<
{B3=1; B3B1}
Is this address located in (city, state, and zip code)?
TI NOTE: IF THE CITY, STATE, AND ZIP CODE MATCH THIS INFORMATION, SELECT YES. IF
THEY DO NOT MATCH SELECT NO.
<1>
<2>
>B4B1<
YES [IPRFB]
NO [B4B1]
DON’T KNOW [IPRFB]
REFUSE [IPRFB]
{B4=2}
34
Would you please provide the correct city, state and zip code?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [IPRFB]
>IPRFB<
Was the interviewer polite and did the interviewer treat you professionally?
<1>
<2>
YES [DONEB]
NO [ELB1B]
>ELB1B<
Would you please tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER NONE [DONEB]
>DONEB<
Assign value 1 (DONEB = 1).
If any of problem flag for call back team is set to ‘Y’ then go to FLAGB
else go to EXITB.
>EXITB<
Those are all of the questions I have. Thank you very much for your time.
Have a good (evening/day).
ENTER <1> TO CONTINUE AND EXIT THE INSTRUMENT
>FLAGB<
Thank you for answering those questions. I would like to confirm a few of your responses for accuracy..
(Just to confirm, to the best of your knowledge…)
ENTER TO CONTINUE
>Flag40<
B1B=2 or B1B2 = 2
You mentioned completing the screening over the telephone and not face to face. The interviewer never
spoke to you in person asking questions like how many people live here, their ages and race?
<1>
<2>
YES, FACE TO FACE [EXITB or next flag]
NO [EXITB or next flag]
35
DON’T KNOW [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag44<
INTROB=1or2) and B1C=2 and B1D=1
Our interviewer did not contact you regarding (address) asking questions such as how many people live in
this household, their ages and race?
<1>
<2>
YES, FI DID CONTACT ME [EXITB or next flag]
NO [EXITB or next flag]
DON’T KNOW [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag45<
B2A=2 or GENDR2=2 or B2B=2
Earlier there was a discrepancy with the household roster. We just want to confirm to ensure the most
accurate data. According to our interviewer, including yourself, (number rostered) (HH Count Noun) age
12 or older (will live/lived) in your household for most of the time during the months of (3-month quarter
field period).
Is this correct?
<1>
<2>
YES [EXITB or next flag]
NO [Flag45no]
DON’T KNOW [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag45no<
Would you please describe what is incorrect about the information?
(Roster data)
TI NOTE: FOR EACH PERSON ON THE ROSTER, IF SEX AND GENDER ARE THE SAME, OR
REFUSED OR DON’T KNOW IS GIVEN FOR GENDER, YOU MAY READ AGE AND SEX. IF A
ROSTER MEMBER’S SEX AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR
EXAMPLE, A 24-YEAR-OLD MALE WHO IDENTIFIES AS FEMALE, OR FOR MULTIPLE
GENDER SELECTIONS, A 24-YEAR-OLD MALE WHO IDENTIFIES AS MALE AND
TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER NONE [EXITB or next flag]
>Flag46<
B3=2
The address you provided earlier did not match exactly what we have. Can you please provide the street
number and street name for the address where you lived when the interviewer contacted you?
36
(address)
TI NOTE: IF THE RESPONDENT ASKS WHY WE ARE ASKING FOR THE ADDRESS AGAIN SAY,
(“We only ask you provide the address to ensure we are speaking to a resident of the home and to ensure
the interviewer went to the correct home.”)
<1>
<2>
< F4>
YES [EXITB or next flag]
NO [Flag46B3REF]
REFUSED
[Flag46B3REF]
>Flag46B3REF<
If I provide this information, would you be willing to confirm?
<1>
<2>
YES [Flag46B3REF1]
NO [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag46B3REF1<
Is it (address)?
<1>
<2>
YES [EXITB or next flag]
NO [EXITB or next flag]
DON’T KNOW [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag47<
B2A=DK or RF or GENDR2=DK or RF or B2B=DK or RF
Earlier you reported not knowing or refusing to provide details on who lives at (address).
If I provide this information, would you be willing to confirm?
<1>
<2>
YES [Flag47REF]
NO [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag47REF<
According to our interviewer, the following (HH Count Noun) age 12 or older (will live/lived) in your
household for most of the time during the months of (3-month quarter field period)?
(Roster data)
Is this information correct?
TI NOTE: FOR EACH PERSON ON THE ROSTER, IF SEX AND GENDER ARE THE SAME, OR
REFUSED OR DON’T KNOW IS GIVEN FOR GENDER, YOU MAY READ AGE AND SEX. IF A
ROSTER MEMBER’S SEX AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR
EXAMPLE, A 24-YEAR-OLD MALE WHO IDENTIFIES AS FEMALE, OR FOR MULTIPLE
GENDER SELECTIONS, A 24-YEAR-OLD MALE WHO IDENTIFIES AS MALE AND
TRANSGENDER.)
37
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
<1>
<2>
YES [EXITB or next flag]
NO [Flag47REF2]
DON’T KNOW [EXITB or next flag]
REFUSED
[EXITB or next flag]
>Flag47REF2<
Would you please describe what is incorrect about the information?
(Roster data)
TI NOTE: FOR EACH PERSON ON THE ROSTER, IF SEX AND GENDER ARE THE SAME OR
REFUSED OR DON’T KNOW IS GIVEN FOR GENDER, YOU MAY READ AGE AND SEX. IF A
ROSTER MEMBER’S SEX AND GENDER DIFFER, INCLUDE BOTH TO RESPONDENT (FOR
EXAMPLE, A 24-YEAR-OLD MALE WHO IDENTIFIES AS FEMALE, OR FOR MULTIPLE
GENDER SELECTIONS, A 24-YEAR-OLD MALE WHO IDENTIFIES AS MALE AND
TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER NONE [EXITB]
38
Verification Script for Code 70
General Information:
All skips or routing instructions to be programmed are noted next to response in brackets [ ]
Skip path map for each question is indicated by {} beside each question name but should not be programmed.
These are there to aid in testing/review of all the various paths to make sure skips are working properly
Sex = Male/Female
Gender = male, female, transgender, [DIFTERM FILL]
(FI Description): FIs official name, unless we have a FI nickname
Program fill for past or future tense as follows:
Use the first portion of the fill (will live/lived)
If Qtr 1 and call is before Feb 15, else use second portion
If Qtr 2 and call is before May 15, else use second portion
If Qtr 3 and call is before August 15, else use second portion
If Qtr 4 and call is before November 15, else use second portion
Program fill for (3-month quarter field period)
Qtr 1= January, February, March
Qtr 2= April, May, June
Qtr 3= July, August, September
Qtr 4 = October, November, December
Program fill for (HH Count Noun)
If number rostered is 1 = person
If number rostered is >1 = people
Program fill for (HH Count Noun 2)
If number rostered is 1 = whether this person identifies as male, female, transgender, or other
If number rostered is >1 = how many of these people identify as male, female, transgender, or
other
Program fill for (this/these):
If number rostered is 1 = person
If number rostered is >1 = people
(Screening Date) fill: Date of final Screening Code
(Roster Data): age, sex, gender, race for each HH member
39
(teen demo): demographic data for teen respondent - age “youth”
(adult demo): demographic data for adult respondent age “person”
(relationship to R): Relationship to Respondent from Verification Form for age 12-17 (Adult who gave permission
for youth to complete the interview). If “relationship to R” is missing, the word choice after the / will appear.
(city, state and zip code): city, state and zip code for address
(number rostered): total number of people in roster
The responses from the following variable items will need to be available for a frequency or data dump by request:
UND18B1A1ELB (verbatim elaboration on what other parent or guardian granted permission)
UND18B1A2ELB (verbatim elaboration on adult over 18 being present for the entire youth interview)
UND18B1A3ELB (verbatim elaboration on FI not being professional for youth interview)
UND18B1A5ELB (verbatim elaboration on the language used to grant permission)
A1A3REF2 (verbatim elaboration on what the correct address is)
A1A4 (verbatim elaboration on street number or name discrepancy)
A1B2 (verbatim elaboration on city, state, zip code discrepancy)
A2AELB1 (verbatim elaboration on interview completed some other way)
A2CELAB1 (verbatim elaboration on what other place the interview was completed)
A3BELB1 (verbatim elaboration on why the R could not enter responses into computer)
DESROS2 (verbatim elaboration on roster discrepancy)
DESROS (verbatim elaboration on roster discrepancy)
MPAYDES1 (verbatim elaboration on how much the R was paid for participation)
PAYCHG (how much the payment influenced the R’s participation)
ELB1A (verbatim elaboration on how the FI was unprofessional)
FLAG8NO (verbatim elaboration on interview not being done face to face)
MPAY2F (verbatim elaboration on how much the respondent received)
FLAG24NO (verbatim elaboration on the address)
FLAG29NO (verbatim elaboration on the roster)
COMMENTS (verbatim elaboration on how another FI was unprofessional)
40
Screening Information Provided for Codes 70:
CaseID
Phone number (designates home or work phone)
Address
Demographic data for respondent
Relationship to Respondent (from Verification Form) if R is 12-17
Code 32 info: If a code 32, demographic data for both respondents
(to use on help screen)
41
Screening Script:
>UNDR18AA<
{DIAL SCREEN}
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that a (teen demo) in your household was interviewed and that (their relationship to R
/an adult) granted permission for this youth to complete the interview.
May I please speak to (the relationship to R/an adult in the household?)?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
<3>
<4>
>Cell_Res1<
YES, SPEAKING TO ADULT [UND18B1A]
YES, ADULT IS AVAILABLE (NOT SPEAKING TO ADULT) [if cell number, go to
Cell_Res1, else UND18B1A]
ADULT UNAVAILABLE [CALLBACK]
ADULT UNKNOWN [NOADULTA]
{cell number and UNDR18AA=1}
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [UND18B1A]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>UND18B1A<
{Cell_Res1 = 1 or not cell number}
IF YOU ARE SPEAKING WITH THE CORRECT ADULT, CONTINUE TO THE THIRD
PARAGRAPH ON THIS SREEN [UND18B1A1]
IF NOT, ONCE YOU ARE CONNECTED WITH THE CORRECT ADULT, RE-INTRODUCE
YOURSELF BEGINNING WITH THE FOLLOWING PARAGRAPH.
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that a (teen demo) in your household was interviewed and that (their + relationship to
R/someone) granted permission for this youth to complete the interview.
We would like to ask you and this teen a few questions to help us verify the quality of our interviewer’s
performance. It will take just a few minutes. For training and quality assurance purposes, this call may be
42
monitored.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
<3>
<4>
YES, RESPONDENT AVAILABLE [if cell number, go to Cell_Res4, else UND18B1A1]
RESPONDENT UNAVAILABLE [CALLBACK]
RESPONDENT UNKNOWN [UNKNOWNA]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [UNKNOWNA]
>Cell_Res4<
{cell number and UND18B1A =1}
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [UND18B1A1]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
> UND18B1A1<
First, did you grant permission for the (teen demo) to complete the interview as our records indicate?
<1>
<2>
YES [UND18B1A5]
NO [UND18B1A1ELB]
>UND18B1A1ELB<
What other parent or guardian granted permission for the (teen demo) to complete the interview?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS
ENTER RESPONDENT’S ANSWER VERBATIM [UND18B1A5]
> UND18B1A5<
In what language was the permission for the (teen demo) to complete the interview granted?
TI NOTE: IF THE RESPONDENT NEEDS CLARIFICATION YOU MAY PROVIDE THE ANSWER
CHOICES AND EXPLAIN THE INTERVIEWER SHOULD HAVE READ A PERMISSION SCRIPT
WITH INFORMATION ABOUT THE YOUTH’S PARTICIPATION TO THE PARENT PRIOR TO
STARTING THE INTERVIEW.
TI NOTE: IF THE RESPONDENT WAS NOT THE PARENT OR GUARDIAN WHO PROVIDED
PERMISSION, AND DOES NOT KNOW THE LANGUAGE USED TO GIVE PERMISSION, MARK
OTHER AND DOCUMENT ON NEXT SCREEN UND18B1A5ELB.
43
<1>
<2>
<3>
ENGLISH [UND18B1A2]
SPANISH [UND18B1A2]
OTHER [UND18B1A5ELB]
>UND18B1A5ELB<
(Would you please tell me more about that?)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS
ENTER RESPONDENT’S ANSWER VERBATIM [UND18B1A2]
> UND18B1A2<
Were you present in the home for the entire length of the interview conducted by our interviewer with the
(teen demo)?
<1>
<2>
YES [UND18B1A3]
NO [UND18B1A2ELB]
>UND18B1A2ELB<
Was at least one adult aged 18 or over present in the home for the entire length of the interview conducted
by our interviewer with the (teen demo)?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS
ENTER RESPONDENT’S ANSWER VERBATIM [UND18B1A3]
> UND18B1A3<
Was the interviewer polite and did the interviewer treat you and the (teen demo) professionally?
<1>
<2>
YES [UND18B1A4]
NO [UND18B1A3ELB]
>UND18B1A3ELB<
Would you please tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS
ENTER RESPONDENT’S ANSWER VERBATIM [UND18B1A4]
> UND18B1A4<
Thank you for your time. That is all the questions I have for you. Would now be a convenient time for you
to put me in touch with the (teen demo)? I have some additional questions to ask about our interviewer’s
performance. It will take just a few minutes of their time.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
YES, RESPONDENT AVAILABLE [if cell number, go to Cell_Res6 else UNDR18CA]
RESPONDENT UNAVAILABLE [CALLBACK]
44
<3>
<4>
>Cell_Res6<
RESPONDENT UNKNOWN [UNKNOWNA]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [UNKNOWNA]
{cell number and UND18B1A4 =1}
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [UNDR18CA]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>UNDR18CA<
{Cell_Res5=1 or not cell number}
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicated that you were interviewed.
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
ENTER (1) TO CONTINUE... [A1]
>NOADULTA<
{UND18AA=4}
Is there another adult I could speak to?
<1>
<2>
<3>
<4>
>Cell_Res2<
YES, SPEAKING TO HIM/HER [UND18B1B]
YES, ANOTHER ADULT AVAILABLE [if cell number, go to Cell_Res2, else UND18B1B]
YES, ANOTHER ADULT UNAVAILABLE [CALLBACK]
NO [UNKNOWNA]
{cell number and NOADULTA=1, 2}
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
45
<1> Yes [UND18B1B]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>UND18B1B<
{cell number and Cell_Res2 = 1, or not cell number}
IF YOU ARE SPEAKING WITH THE CORRECT ADULT, CONTINUE TO THE THIRD
PARAGRAPH ON THIS SCREEN.
IF NOT, ONCE YOU ARE CONNECTED WITH THE CORRECT ADULT, RE-INTRODUCE
YOURSELF BEGINNING WITH THE FOLLOWING PARAGRAPH.
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that a (teen demo) in your household was interviewed and that (their + relationship to
R/someone) granted permission for this youth to complete the interview.
We would like to ask this teen a few questions to help us verify the quality of our interviewer’s
performance. It will take just a few minutes of their time. For training and quality assurance purposes,
this call may be monitored. Would now be a convenient time for you to put me in touch with this teen?
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
<3>
<4>
>Cell_Res5<
YES, RESPONDENT AVAILABLE [if cell number, go to Cell_Res5, else UNDR18CB]
RESPONDENT UNAVAILABLE [CALLBACK]
RESPONDENT UNKNOWN [UNKNOWNA]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [UNKNOWNA]
{cell number and UND18B1B =1}
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [UNDR18CB]
<2> No [END]
<8> Schedule a callback [END]
<9> Other Codes [END]
>UNDR18CB<
{Cell_Res5=1 or not cell number}
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicated that you were interviewed.
46
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
ENTER (1) TO CONTINUE... [A1]
>ADULTA1A<
{DIAL SCREEN}
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that a (adult demo) in your household was interviewed and that they agreed to verify
this interview.
We would like to speak to this person to verify the quality of our interviewer’s performance. It will take
just a few minutes of their time. For training and quality assurance purposes, this call may be monitored.
(Would now be a convenient time for you to put me in touch with this person?)
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
<1>
<2>
<3>
<4>
<5>
>UNKNOWNA<
SPEAKING WITH TARGET RESPONDENT [A1]
YES, RESPONDENT AVAILABLE [if cell number, go to Cell_Res3, else ADULTBA]
RESPONDENT UNAVAILABLE AT THIS TIME [CALLBACK]
RESPONDENT UNKNOWN [UNKNOWNA]
RESPONDENT KNOWN, BUT WILL NEVER BE AVAILABLE [UNKNOWNA]
{UND18B1A=3 OR 4; UND18B1B= 3 OR 4; ADULTA1A= 4 OR 5}
It is important that we verify our interviewer made contact with someone at this number concerning
(address). Is this the correct phone number for (address)?
<1>
<2>
>Cell_Res3<
YES [A1C]
NO [A1C]
{cell number and ADULTA1A = 2}
ONCE SPEAKING WITH THE TARGET RESPONDENT
Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.
Are you in a place where you can safely talk on the phone and answer my questions?
INTERVIEWER: IF THE RESPONDENT CANNOT TALK RIGHT NOW, PLEASE ASK FOR A GOOD
TIME TO CALLBACK; IF THEY SIMPLY HANG-UP, SET A RANDOM APPOINTMENT FOR 4
HOURS LATER.
<1> Yes [ADULTBA]
<2> No [END]
47
<8> Schedule a callback [END]
<9> Other Codes [END]
>ADULTBA<
{cell number and Cell_Res3=1, or not cell number}
(Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by
the U.S. Department of Health and Human Services.)
Our records indicate that you were interviewed.
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your
time. For training and quality assurance purposes, this call may be monitored.
(This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work
in several ways. One very important check is to call some of the residences that were contacted to ensure
the interviewer followed proper procedures and behaved professionally.)
ENTER (1) TO CONTINUE… [A1]
>A1<
{ADULTBA; ADULT1A=1; UND18CB; UND18CA}
Did you complete an interview for this study?
<1>
<2>
>A1A<
YES [A1A3]
NO [A1A]
{A1=2}
You would have answered questions on topics such as tobacco, alcohol, and health care and you would
have used a laptop computer that the interviewer supplied. Does this sound familiar?
<1>
<2>
>A1B<
YES [A1A3]
NO [A1B]
{A1A=2}
Were you ever contacted by one of our interviewers?
<1>
<2>
<3>
>A1C<
YES, BUT RESPONDENT DOES NOT REMEMBER COMPLETING INTERVIEW [A1A3]
YES, AND RESPONDENT DOES REMEMBER COMPLETING INTERVIEW [A1A3]
NO [A1C]
{A1B= 3}
Our interviewer would have been wearing a white badge with a picture I.D. The interviewer may have been
carrying a computer. Did this person ever contact you?
<1>
<2>
<3>
<4>
>A1A3<
YES, BUT RESPONDENT DOES NOT REMEMBER COMPLETING INTERVIEW [IF
UNKNOWNA=1 OR 2, GO TO A8; OTHERWISE GO TO A1A3]
YES, AND RESPONDENT DOES REMEMBER COMPLETING INTERVIEW [IF
UNKNOWNA=1 OR 2, GO TO A2A; OTHERWISE GO TO A1A3]
NO [IF UNKONWNA=1 OR 2, GO TO A8; OTHERWISE GO TO A1A3]
YES, BUT SPEAKING TO ANOTHER HH MEMBER (NOT INTERVIEW RESPONDENT)
[IF UNKNOWNA=1 OR 2, GO TO A8; OTHERWISE GO TO A1A3]
{A1C=1, 2 or 4; A1B=1 or 2; A1A=1: A1=1}
48
It is important that the interviewer visited the correct address. Can you please provide the street number
and street name for the address where you lived when the interviewer contacted you? Please include the
apartment or unit number as well.
TI NOTE: DO NOT READ ADDRESS TO RESPONDENT. IF THE STREET NUMBER AND NAME
MATCH THIS INFORMATION, SELECT CORRECT. IF THEY DO NOT MATCH SELECT
INCORRECT.
(address)
TI NOTE: IF RESPONDENT PROVIDES THE CORRECT STREET NUMBER AND NAME BUT NOT
THE UNIT NUMBER OR STREET INDENTIFIER, YOU SHOULD PROVIDE THE MISSING
INFORMATION TO THE RESPONDENT TO CONFIRM IT IS ACCURATE.
<1>
<2>
> A1A3REF<
CORRECT [A1B1]
INCORRECT [A1A4]
DON’T KNOW [A1A3DK]
REFUSE [A1A3REF]
{A1A3=RF}
Again, it is important that the interviewer visited the correct address. Would you be willing to confirm the
address if I provide it to you?
<1>
<2>
YES [A1A3REF1]
NO [A2A]
>A1A3DK<
{A1A3=DK}
If I provide the address, would this help you remember?
<1>
<2>
> A1A3REF1<
YES [A1A3REF1]
NO [A2A]
{A1A3REF =1}
Our records indicate the address for this phone number is (address). Is this correct?
<1>
<2>
>A1A3REF2<
CORRECT [A1B1]
INCORRECT [A1A3REF2]
DON’T KNOW [A2A]
REFUSE [A2A]
{A1A3REF1=2}
(Would you please provide the correct address or tell me what about this address is incorrect?)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER REFUSED IF RESPONDENT REFUSES TO PROVIDE CORRECT ADDRESS OR INDICATE
WHAT THE DISCREPANCY IS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [A2A]
49
>A1A4<
{A1A3=2}
(Can you please repeat that?)
IF RESPONDENT REFUSE TO ANSWER AND SAID DON’T KNOW, GO BACK TO A1A3 AND
SELECT DON’T KNOW OR REFUSE.
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [A1B1]
>A1B1<
{A1A3=1 or A1A3REF1=1}
Is this address located in (city, state, and zip code)?
TI NOTE: IF THE CITY, STATE, AND ZIPCODE MATCH THIS INFORMATION, SELECT YES. IF
THEY DO NOT MATCH SELECT NO.
<1>
<2>
>A1B2<
YES [IF A1B=1 or A1C=1, 3, 4, GO TO A8; OTHERWISE GO TO A2A]
NO [A1B2]
DON’T KNOW [IF A1B=1 or A1C=1, 3, 4, GO TO A8; OTHERWISE GO TO A2A]
REFUSE [IF A1B=1 or A1C=1, 3, 4, GO TO A8; OTHERWISE GO TO A2A]
{A1B1=2}
Would you please provide the correct city, state and zip code?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [IF A1B=1 or A1C=1, 3, 4, GO TO A8;
OTHERWISE GO TO A2A]
>A2A<
{A1C=2; A1B=2; A1A=1: A1=1}
Was the interview done entirely in person, over the phone, or by an intercom?
IF YOU ARE SPEAKING TO A RESPONDENT THAT DOES NOT KNOW WHAT AN INTERCOM
IS, CONTINUE TO READ THE FOLLOWING SENTENCE
(An intercom is a device outside a home (usually an apartment building) that visitors can use to talk with a
person inside the home by pushing a button)
TI NOTE: IF RESPONDENT SAYS IT WAS DONE ON A COMPUTER, PROBE BY ASKING IF THE
INTERVIEWER WAS THERE IN PERSON FOR THE ENTIRE INTERVIEW.
<1>
<2>
<3>
<4>
>A2AELB1<
ENTIRELY IN PERSON [A2C]
OVER THE PHONE [A2B]
BY INTERCOM [A2B1]
SOME OTHER WAY [A2AELB1]
{A2A=4}
Would you please tell me more about that?
50
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF IT BECOMES APPARENT THAT THE INTERVIEW WAS COMPLETED EITHER ENTIRELY IN
PERSON OR OVER THE PHONE, USE THE BACKUP KEY AND RE-CODE A2A [A3A]
>A2B<
{A2A=2}
When the interviewer called you by telephone, did the interviewer make an appointment to see you or did
the interviewer complete our survey by telephone -- asking questions about tobacco, alcohol, drug use and
health-related issues over the telephone?
<1>
<2>
>A2B1<
MADE APPOINTMENT ONLY [A2C]
COMPLETED SURVEY QUESTIONS [A8]
DON’T KNOW [A2C]
REFUSE [A2C]
{A2A=3}
When the interviewer contacted you by intercom, did the interviewer make an appointment to see you or
did the interviewer complete our survey over the intercom -- asking questions about tobacco, alcohol, drug
use and health-related issues over the intercom?
<1>
<2>
>A2C<
MADE APPOINTMENT ONLY [A2C]
COMPLETED SURVEY QUESTIONS [A8]
DON’T KNOW [A2C]
REFUSE [A2C]
{A2A=1; A2B=1 OR F3 OR F4; A2B1=1 OR F3 OR F4}
Was the interview conducted in your home?
IF THE RESPONDENT STATES THAT THE INTERVIEW WAS CONDUCTED ON HIS/HER
PORCH, FRONT YARD, OR BACK YARD CODE THIS AS RESPONSE 1 ‘YES’
<1>
<2>
>A2C2<
YES [A3A]
NO [A2C2]
{A2C=2}
Where was the interview conducted?
<1>
<2>
<3>
<4>
<5>
<6>
>A2CELAB1<
AT THE RESPONDENT’S WORKPLACE [A2CELAB1]
AT THE HOME OF THE RESPONDENT’S RELATIVE OR FRIEND [A3A]
IN SOME TYPE OF CONFERENCE ROOM IN A RESIDENCE HALL, SCHOOL OR
APARTMENT COMPLEX [A3A]
AT A LIBRARY [A3A]
IN SOME TYPE OF COMMON AREA, SUCH AS A LOBBY, HALLWAY, STAIRWELL, OR
LAUNDRY ROOM [A3A]
SOME OTHER PLACE [A2CELAB1]
{A2C2=1 or 6}
Would you please tell me more about the location in which your interview was conducted?
51
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF IT BECOMES APPARENT THAT THE INTERVIEW WAS COMPLETED IN ONE OF THE ABOVE
SPECIFIED LOCATIONS USE THE BACKUP KEY TO BACK-UP AND RE-CODE A2C2 [A3A]
>A3A<
{A2C=1; A2C2=1 OR 2 OR 3 OR 4 OR 5; A2CELAB1}
Did you enter some of your responses into a computer provided by the interviewer?
<1>
<2>
>A3B<
YES [A4]
NO [A3B]
{A3A=2}
Was there a specific reason why you did not enter some of your own responses in the computer?
<1>
<2>
>A3BELB1<
YES [A3BELB1]
NO [A3BELB1]
{A3B = 1}
Would you please tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER “NONE”.
IF, AS THE RESPONDENT IS ELABORATING, IT BECOMES APPARENT THAT THE
INTERVIEWER DID GIVE THE R THE COMPUTER, BACKUP TWO QUESTIONS AND CHANGE
THE RESPONSE TO A3A. [A7]
>A4<
{A3A=1}
At the beginning of the interview, did you complete practice questions that showed you how to enter your
responses into the computer?
TI NOTE: IF THE RESPONDENT NEEDS CLARIFICATION YOU MAY READ THE FOLLOWING
STATEMENT: (For example, one of the questions asked you what color your eyes are.)
<1>
<2>
>A5<
YES [A5]
NO [A5]
DON’T KNOW [A5]
{A4=1 OR 2 OR F3}
Did the interviewer offer you a set of headphones to use during the interview?
<1>
YES [A7]
<2>
NO [A7]
DON’T KNOW [A7]
>A7<
{A5=1, 2, OR F3; A3B=2; A3BEL1 }
52
According to our interviewer, including yourself, (number rostered) (HH Count Noun) age 12 or older
(will live/lived) in your household for most of the time during the months of (3-month quarter field period).
Is this correct?
<1>
<2>
YES [GENDER]
NO [DESROS]
DON’T KNOW [A8]
REFUSE [A8]
>GENDER<
{A7=1}
Thinking about (this/these) (number rostered) (HH Count Noun), including yourself, could you please tell
me (HH Count Noun 2)?
TI NOTE: DO NOT READ ROSTER DATA TO RESPONDENT. IF THE NUMBER OF GENDERS IS
CORRECT, SELECT CORRECT. IF THEY DO NOT MATCH SELECT INCORRECT AND RECORD
THE RESPONDENT’S ANSWER IN THE FOLLOWING QUESTION.
(Roster data)
<1>
<2>
CORRECT [A8]
INCORRECT [DESROS]
DON’T KNOW [A8]
REFUSE [A8]
>DESROS<
{A7=2; GENDER=2}
According to our interviewer, the following (HH Count Noun) age 12 or older (will live/lived) in your
household for most of the time during the months of (3-month quarter field period)?
(Roster data)
Would you please describe what is incorrect about the information?
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME OR REFUSED OR DON’T KNOW IS
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE, OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS. IF IT BECOMES CLEAR THE
RESPONDENT WAS CONFUSED BY THE PREVIOUS QUESTION, GO BACK TO THE QUESTION
AND REREAD/PROBE FOR CLARITY.
ENTER RESPONDENT’S ANSWER VERBATIM [IF A1C = 3 OR ADULTA1A = 4,5 OR UND18B1A
= 3, 4 OR UND18B1B = 3, 4 GO TO DONEA, OTHERWISE GO TO IPRFA)]
>A8<
{A1B=1; A1C=1; UNKNOWNA=1 or 2 and A1C= 3; A7=F3, F4; GENDER=1, F3, F4}
According to our interviewer, the following (HH Count Noun) age 12 or older (will live/lived) in your
household for most of the time during the months of (3-month quarter field period)?
53
(Roster data)
Is this information correct?
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME OR REFUSED OR DON’T KNOW IS
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, READ BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE, OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
<1>
<2>
>DESROS2<
YES [IF A1C = 3, 4 OR UND18B1A = 3, 4 OR UND18B1B = 3, 4 GO TO DONEA,
OTHERWISE GO TO IPRFA)]
NO [DESROS2]
DON’T KNOW [IF A1C = 3, 4 OR UND18B1A = 3, 4 OR UND18B1B = 3, 4 GO TO DONEA,
OTHERWISE GO TO IPRFA)]
REFUSE [IF A1C = 3, 4 OR UND18B1A = 3, 4 OR UND18B1B = 3, 4 GO TO DONEA,
OTHERWISE GO TO IPRFA)]
{A8=2}
Would you please describe what is incorrect about the information?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM [IF A1C = 3, 4 OR UND18B1A = 3, 4 OR
UND18B1B = 3, 4 GO TO DONEA, OTHERWISE GO TO IPRFA)]
>IPRFA<
{A8=1; DESROS: DESROS2}
Was the interviewer polite and did the interviewer treat you professionally?
<1>
<2>
>ELB1A<
YES [If A1B=1 or A1C=1 GO TO DONEA; OTHERWISE GO TO MPAY]
NO [ELB1A]
{IPRFA=2}
Would you please tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM. IF NO COMMENTS, ENTER “NONE” [If A1B=1
or A1C=1 GO TO DONEA; OTHERWISE GO TO MPAY]
>MPAY<
{IPRFA=1; ELB1A}
Did you receive anything for your participation?
<1>
<2>
YES (RECEIVED MONEY) [MPAYAMT]
YES (NOT MONEY, BUT INSTEAD OFFERED OR GIVEN A SERVICE OR A GIFT)
[MPAYDES1]
54
<3>
NO [MPAY2]
DON’T KNOW [MPAY2]
NOTES TO TI: REPORTS OF INTERVIEWERS GIVING
PRINTED PROJECT MATERIALS SUCH AS CERTIFICATES FOR COMPLETING
THE SURVEY ARE NOT CONSIDERED INCENTIVES. CODE AS RESPONSE 3 “NO”
REPORTS OF BEING GIVEN BOTH MONEY AND A CERTIFICATE SHOULD BE CODED AS
RESPONSE 1 “YES”
>MPAY2<
{MPAY=3}
It is important to know if our interviewer followed the correct procedures. It would be very helpful if you
could take another moment to think back to the time of the interview, then answer this question. Did you
receive anything for your participation?
<1>
<2>
<3>
YES (RECEIVED MONEY) [MPAYAMT]
YES (NOT MONEY, BUT INSTEAD OFFERED OR GIVEN A SERVICE OR A GIFT)
[MPAYDES1]
NO [DONEA]
DON’T KNOW [DONEA]
NOTE TO TI: REPORTS OF INTERVIEWERS GIVING PRINTED PROJECT MATERIALS SUCH AS
CERTIFICATES FOR COMPLETING THE SURVEY ARE NOT CONSIDERED INCENTIVES. CODE
AS RESPONSE 3 “NO”
REPORTS OF BEING GIVEN BOTH MONEY AND A CERTIFICATE SHOULD BE CODED AS
RESPONSE 1 “YES”
>MPAYAMT<
{MPAY=1 OR MPAY2=1}
How much did you receive? DO NOT READ AMOUNTS.
<1>
<2>
$30 [PAYCHG]
OTHER AMOUNT [MPAYDES1]
>MPAYDES1<
{MPAY=2; MPAY2=2; MPAYAMT=2}
Please describe
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM. IF IT BECOMES CLEAR THAT THE
RESPONDENT RECEIVED THE CORRECT AMOUNT ($30.00) THEN BACK UP TO MPAYAMT
AND CHANGE THAT RESPONSE TO <1>. [DONEA]
>PAYCHG<
{MPAYAMT=1}
How much did the $30 incentive influence your decision to participate?
<1>
<2>
<3>
>DONEA<
a lot [DONEA]
a little [DONEA]
not at all [DONEA]
{MPAY2 =3; PAYCHG}
55
Assign value 1 (DONEA = 1).
If any of problem flag for call back team is set to ‘Y’ then go to FLAGA
else go to EXITA.
>EXITA<
Those are all of the questions I have. Thank you very much for your time.
Have a good (evening/day).
ENTER <1> TO CONTINUE AND EXIT THE INSTRUMENT
>FLAGA<
Thank you for answering those questions. I would like to confirm a few of your responses for accuracy.
(Just to confirm, to the best of your knowledge…)
ENTER TO CONTINUE.
>Flag5<
A1C = 3
Please think back to (screening date) and try to remember if you completed an interview. The interview
was completed on a laptop and would have asked questions on tobacco, alcohol, drug use, and your health
and would have taken about an hour.
Did our interviewer complete an interview with you?
<1>
<2>
>Flag6<
YES [EXITA or next flag]
NO [EXITA or next flag]
DON’T KNOW [EXITA or next flag]
REFUSED
[EXITA or next flag]
A1A=2 and (A1B=1 or A1C=1)
Earlier you mentioned you were contacted by our interviewer but never completed an interview. The
interview would have been on a laptop and would have taken about an hour where you would have been
asked questions on tobacco, alcohol, drugs, and your health.
Did you complete an interview?
<1>
<2>
>Flag8<
YES [EXITA or next flag]
NO [EXITA or next flag]
DON’T KNOW [EXITA or next flag]
REFUSED
[EXITA or next flag]
A2B=2 or A2B1=2
Did you complete the full interview face to face in a private location like at your home? This would have
taken about an hour and asked you questions about tobacco, alcohol, drug use and health related questions.
<1>
<2>
YES [EXITA or next flag]
NO [Flag8no]
56
DON’T KNOW [EXITA or next flag]
REFUSED
[EXITA or next flag]
>Flag8no<
Would you tell me more about that?
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM. IF NO COMMENTS, ENTER “NONE” [EXITA or
next flag]
>Flag10<
A4=2 OR DK
Please think back to the day of the interview, before beginning the questions on tobacco, alcohol, drugs and
health, did the laptop guide you through a tutorial where several questions asked if you had a dog, how
many times you ate potatoes in the last 30 days, and what kind of music you like?
<1>
<2>
>Flag11<
YES [EXITA or next flag]
NO [EXITA or next flag]
DON’T KNOW [EXITA or next flag]
REFUSED
[EXITA or next flag]
A5=2 OR DK
We offer you a set of headphones to use during the interview to ensure your confidentiality, so others do
not hear the questions being asked.
Did the interviewer offer you a set of headphones?
<1>
<2>
>Flag21<
YES [EXITA or next flag]
NO [EXITA or next flag]
DON’T KNOW [EXITA or next flag]
REFUSED
[EXITA or next flag]
MPAY2= 3, or DK
Earlier you mentioned not remembering or not receiving an incentive for your participation. We want to
make sure the interviewer provided you with the correct incentive. Did you receive anything at the end of
the interview for your time?
TI NOTE: YOU CAN REMIND THE RESPONDENT OF THE INCENTIVE RECIEPT IF THE DON’T
REMEMBER
<1>
<2>
YES [MPAY2F]
NO [EXITA or next flag]
DON’T KNOW [EXITA or next flag]
REFUSED
[EXITA or next flag]
>MPAY2F<
How much did you receive?
57
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM. IF NO COMMENTS, ENTER “NONE” [EXITA or
next flag]
>Flag24<
A1A3=2
It is important that the interviewer visited the correct address. Earlier you provided, (response from A1A4)
as your address. We just want to make sure the interviewer was at the correct home
For confirmation, what is your address?
(address)
TI NOTE: IF THE RESPONDENT DOESN’T REMEMBER, DOESN’T KNOW OR IS REFUSING,
PROBE TO HELP THEM. PROVIDE THE INFORMATION.
IF AN ADDRESS IS PROVIDED AND IT IS CORRECT PRESS YES AND ENTER IF IT IS CORRECT
IF THE ADDRESS IS STILL INCORRECT PRESS NO AND ENTER
<1>
<2>
YES [EXITA or next flag]
NO [Flag24no]
REFUSED
[EXITA or next flag]
>Flag24no<
(Can you please repeat that?)
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [EXITA or next flag]
>Flag29<
A8=DK or RF or GENDER=DK or RF or A7=DK or RF
Earlier you reported not knowing or refusing to provide details on the people who live at (address).
If I provide this information, would you be willing to confirm?
<1>
<2>
YES [flag29yes]
NO [EXITA or next flag]
REFUSED
[EXITA or next flag]
>Flag29yes<
According to our interviewer, the following (HH Count Noun) age 12 or older (will live/lived) in your
household for most of the time during the months of (3-month quarter field period)?
(Roster data)
Is this information correct?
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME OR REFUSED OR DON’T KNOW IS
58
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE, OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
<1>
<2>
YES [EXITA or next flag]
NO [flag29no]
REFUSED
[EXITA or next flag]
>flag29no<
Would you please describe what is incorrect about the information?
(Roster data)
TI NOTE: FOR EACH PERSON ON THE ROSTER, PROVIDE AGE AND SEX and/or GENDER. IF A
ROSTER MEMBER’S SEX AND GENDER ARE THE SAME OR REFUSED OR DON’T KNOW IS
GIVEN FOR GENDER, READ AGE AND SEX. IF A ROSTER MEMBER’S SEX AND GENDER
DIFFER, INCLUDE BOTH TO RESPONDENT (FOR EXAMPLE, A 24-YEAR-OLD MALE WHO
IDENTIFIES AS FEMALE, OR FOR MULTIPLE GENDER SELECTIONS, A 24-YEAR-OLD MALE
WHO IDENTIFIES AS MALE AND TRANSGENDER.)
TI NOTE: ROSTER AGES DO NOT NEED TO BE EXACT. AN AGE DISCREPANCY OF
BETWEEN 1 & 2 YEARS IS ACCEPTABLE AS CORRECT. CHILDREN AGE 11 OR YOUNGER
SHOULD NOT BE INCLUDED ON THE ROSTER
ENTER ADDITIONAL COMMENTS UP TO 150 CHARACTERS.
ENTER RESPONDENT’S ANSWER VERBATIM.
IF NO COMMENTS, ENTER NONE [EXITA or next flag]
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Answering Machine Script for Codes 10, 13. 18, 22, 26, 30, and 70
General Information:
Messages will be left after the first, sixth, and fourteenth call attempts.
Answering Machine Script:
>NOANSWER<
Hello, I am calling from RTI International regarding a study sponsored by the US Department of Health and Human
Services. Our records indicate that someone at this number was contacted by one of our field interviewers and I am
calling to verify the quality of our interviewer’s performance. This call will take just a few minutes of your time. A
RTI International representative will try to reach you over the next few days to ask a few brief questions. Thank you
in advance for your participation.
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| File Type | application/pdf |
| File Title | Microsoft Word - Attachment V_CATI Verification Scripts_2025_Clean |
| Author | cjewett |
| File Modified | 2023-11-17 |
| File Created | 2023-11-17 |