2030 CENSUS BARRIERS, ATTITUDES AND MOTIVATORS SURVEY
WEB QUESTIONNAIRE
Self-reported intent to participate 3
Undercount of Young Children 12
Recommendations from NAC: Administrative records/Differential privacy [Frames Survey] 15
SURVEY NOTES
Within household selection:[TBD]
PROGRAMMING NOTES:
For random half of respondents, unipolar scales appear as they are written. (C1)
For other half, unipolar scales are all reverse order (C2)
Respondents may skip any question. Please assign a value of “999” to any item a respondent skips.
Do not include back buttons
No soft prompts
Header: U.S. Census Bureau Logo
Footer: OMB number and expiration date
Split ballots indicated in the programming for specific items
Over 18 years old
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SHOW ALL:
Intro. Welcome! Thank you for participating in this survey as a member of the Census Household Panel. This survey is sponsored by the U.S. Department of Commerce’s U.S. Census Bureau and aims to inform research to improve the next census. You will receive $[TBD] for your participation in this survey.
This survey is available in English and Spanish. Please select the
language in which you prefer to complete the survey.
If
you would like to change your language selection later, please use
the drop-down menu in the upper right corner of each page to select
the language in which you prefer to complete the survey.
English
Español
Logic:
• Ask this question for all respondents
• Only one response permitted here, and respondents will be able to toggle between languages in the remainder of the survey
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Thank you for participating. Completing this 15-minute survey will help the U.S. Census Bureau plan for the 2030 Census. You will receive $XX for your participation in this survey.
We estimate that completing this voluntary survey will take 15 minutes on average. Send comments regarding this time estimate or any other aspect of this survey to adrm.pra@census.gov.
The U.S. Census Bureau is required by law to protect your information. The Census Bureau is not permitted to publicly release your responses in a way that could identify you. Federal law protects your privacy and keeps your answers confidential (Title 13, United States Code, Section 9 and Title 5, U.S. Code, Section 552a).
This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-1020, confirms this approval and expires on 04/30/2025.
The uses of your data are limited to those identified in the Privacy Act System of Record Notice titled, “SORN COMMERCE/Census-5, Decennial Census Programs.”
** U.S. Census Bureau Notice and Consent Warning **
You are accessing a United States Government computer network. Any information you enter into this system is confidential. It may be used by the Census Bureau for statistical purposes and to improve the website. If you want to know more about the use of this system, and how your privacy is protected, visit our online privacy webpage at http://www.census.gov/about/policies/privacy/privacy-policy.html.
Use of this system indicates your consent to collection, monitoring, recording, and use of the information that you provide for any lawful government purpose. So that our website remains safe and available for its intended use, network traffic is monitored to identify unauthorized attempts to access, upload, change information, or otherwise cause damage to the web service. Use of the government computer network for unauthorized purposes is a violation of Federal law and can be punished with fines or imprisonment (PUBLIC LAW 99-474).
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SHOW ALL:
Display_Q1. The census is the count of all the people who live in the United States. It happens every 10 years. It asks how many people live in your household, their age, sex, race, and ethnicity. The last census was in 2020. [Adapted from 2020 CBAMS mindset panel]
ASK ALL:
Qhearcensusaid. Before today, do you remember ever hearing about the census, or do you not remember hearing about it? Select only one answer. [2020 Creative testing only in EN]
Do remember hearing about it
Do not remember hearing about it
Logic:
Only one response permitted
If QORDER = C1 then show written order of answers choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
Intent1. If the census were held today, how likely would you be to fill out the census form? Select only one answer. [2020 CBAMS and 2020 CBAMS mindset panel]
Extremely likely
Very likely
Somewhat likely
Not too likely
Not at all likely
Logic:
Only one response permitted
If QORDER = C1 then show written order of answers choices.
If QORDER = C2 then show reversed order of answer choices.
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/* START PAGE */
Display_Q2. As you may know, the last census started around April 1st, 2020. Please think about the 2020 Census when answering the following questions. [New]
SRParticipation2020_1. To the best of your knowledge, did you or someone else in your household respond to the 2020 Census? Select only one answer. [New]
Yes, I responded
Yes, someone else in my household responded [GO TO SRParticipation2020_2A]
No [GO TO NOPART1]
Logic:
Only one response permitted
ASK if SRParticipation2020_1= 2
SRParticipation2020_2A. Do you remember who in your household responded to the 2020 Census form?
Spouse or partner
A child
A housemate/roommate
A relative [Please specify]
Other non-relative
Do not remember
Logic:
Only one response permitted
Age_2A sould have a drop-down menu to select the year
IntroAge_2A. Can you tell us a bit more about the person who responded?
Age_2A. What year was this person born? (if you don't know the exact year this person was born, your best guess is fine)
Gender_2A. Is this person
Male
Female
ASK if SRParticipation2020_1 =3
NOPART1. Which of the following are the TOP THREE reasons why your household did not complete the 2020 Census? Select up to three answers. [New]
/* RANDOM ROTATE OPTIONS */
Did not want to speak with a U.S Census Bureau enumerator
Did not have time or forgot to respond
Did not want to give out personal information
Do not trust the government
I was worried my responses could cause trouble with my living situation (e.g., increasing rent, evictions, inspections, limiting the number of people living in my place, etc.)
Did not get a census form
I rented the place where I lived and did not think I had to respond to the 2020 Census
Concerned about citizenship status
I am not a citizen and did not think I had to respond to the 2020 Census
Did not think my response would matter
Was concerned about COVID-19 (e.g., wanted to avoid interacting with people outside my household)
Did not know the 2020 Census was happening
I thought someone else at my household was going to respond
A census interviewer did not visit my household to encourage me to respond
Other [specify]
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/* START PAGE */
TrustAcc. How much trust do you have in the accuracy of the 2020 Census results? Select only one answer. [New]
A great deal
Quite a lot
Some
Very little
None at all
ASK if TrustAcc =1 OR 2
SPLIT SAMPLE:
TrustAcc2. Can you tell us a bit about how you came up with your answer? [New]
TrustFs. How much trust do you have in federal statistics in the United States? Select only one answer. [modified version from RoPOAR survey]
A great deal
Quite a lot
Some
Very little
None at all
SPLIT SAMPLE:
TrustFS2. Can you tell us a bit about how you came up with your answer? [New]
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
/* END PAGE */
/* START PAGE */
/* RANDOM ROTATE SERIES */
CensImp. Thinking about the census overall, how important do you feel it is for you to fill out the census form? Select only one answer. {2pac Survey]
Extremely important
Very important
Somewhat important
Not too important
Not at all important
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
Personally_counted. How much, if at all, do you think it matters if you personally are counted in the census? Select only one answer. [2020 CBAMS]
A great deal
A lot
A moderate amount
A little
Not at all
Personally_counted2. Can you tell us a bit about how you came up with your answer?[New]
ChildM. How much, if at all, do you think it matters if CHILDREN (in your community) are counted in the census? Select only one answer.
A great deal
A lot
A moderate amount
A little
Not at all
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
/* RANDOM ROTATE SERIES */
all_motivators_B. Which of the following are the most important reasons, to you personally, /for filling out the census form every ten years? Select all that apply. [2020 CBAMS]
It helps determine funding for public services in my community, like schools and fire departments
It determines how many elected representatives my state has in Congress
It is used to enforce civil rights laws
It provides information for my local government to plan for changes in my community
It shows that I am proud of my cultural heritage
It is my civic duty (along with voting, jury duty, paying taxes)
It contributes to a better future for my community
Other [specify]
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/*Random Rotate series where 50% get harm first and 50% get benefit first. Please consider asking benefits and harms in each own page to randomize the blocks in Qualtrics/
Benefits_harms2. Do you believe that answering and submitting your census form could benefit your community? Select only one answer [Frames 2pac survey]
Yes [if Yes ask Benefits_harms2A]
No
ASK if Benefits_harms2 = 1
Benefits_harms2A. Please provide an example of a way the census could benefit your community [New].
Benefits_harms4. Do you believe that answering and submitting your census form could harm your community? Select only one answer [Frames 2pac survey]
Yes [if Yes ask Benefits_harms4A]
No
ASK if Benefits_harms4 = 1
Benefits_harms4A. Please provide an example of a way the census could harm your community [New].
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/* START PAGE */
/* RANDOM ROTATE SERIES (census knowledge) */
ASK ALL: The following questions are about the census in general. There is no need to look up this information. Please answer to the best of your knowledge.
/*ROTATE LIST*/[CBAMS 2020]
use1. Is the census used to decide how much money communities will get from the government, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for this
No, not used for this
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
use2. Is the census used to decide how many representatives each state will have in Congress, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for this
No, not used for this
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
use3. Is the census used to see what changes have taken place in the size, location, and characteristics of the people in the United States, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for this
No, not used
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
use4. Is the census used to determine property taxes, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for this
No, not used
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
use5. Is the census used to help the police and FBI keep track of people who break the law, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for this
No, not used
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
use6. Is the census used to locate people living in the country without documentation, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for this
No, not used
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
use7. Is the census used to count both citizens and non-citizens, or only citizens? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for counting both citizens and non-citizens
No, used only for counting citizens
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
Use8. Is the census used to determine the rate of unemployment, or is it not used for this? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, used for counting both citizens and non-citizens
No, used only for counting citizens
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
ChildE. Does the census count children of ALL ages, including babies and toddlers, or only children of school age?
Yes, used for counting children of ALL ages, including babies and toddlers
No, used only for counting children of school age
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
ChildF. Can you tell us a bit about how you came up with your answer? [New]
legal1. Does the law require you to answer the census, or is this not required by law? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, required by law
No, not required by law
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
legal2. Is the Census Bureau required by law to keep information confidential, or is this not required by law? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, required by law
No, not required by law
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
Legal3. Does the U.S. Constitution require that the census be conducted, or is this not something the Constitution requires? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Yes, the U.S. Constitution requires it
No, the U.S. Constitution does not require it
Don't know
Logic:
Only one response permitted
Do NOT rotate answer choices
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/* CONCERN BATTERY SERIES */
/* RANDOM ROTATE CONCERN1, CONCERN2, CONCERN3 CONCERN4*/
/* START PAGE */
ASK ALL: The following questions are about the 2020 Census:
ASK ALL:
Concern4.How concerned are you, if at all, about the accuracy of 2020 Census results? Select only one answer. [New]
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
Concern1. How concerned are you, if at all, that the U.S. Census Bureau will not keep answers to the 2020 Census confidential? Select only one answer. [CBAMS 2020 and CBAMS mindset panel]
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
Concern3. How concerned are you, if at all, that an unauthorized person or hacker might gain access to 2020 Census responses? Select only one answer. [2PAC Survey/Adapted from 2020 CBAMS]
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
ASK ALL:
Concern5. How concerned are you, if at all, that 2020 Census responses might be used to monitor the data of the community where you live? Select only one answer. [new]
Extremely concerned
Very concerned
Somewhat concerned
Not too concerned
Not at all concerned
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
ASK ALL:
/* CONCERN BATTERY SERIES */
/* RANDOM ROTATE CONCERN1, CONCERN2, CONCERN3 CONCERN4*/
/* END PAGE */
Eleg. When does a CHILD become eligible to be included in the census? MARK ALL THAT APPLY
When they are born
When they start school
When they get a job
When they can vote
When they become a citizen
It is up to the parents/guardians to decide
Other, please specify
Only one response permitted
Do NOT rotate answer choices
Ancestry1. How important is it to you to know your family history or ancestry? [Ipsos 6/17/2021-6/20/2021]
Extremely important
Very important
Somewhat important
Not too important
Not at all important
Ancestry2. Have you used census data to research your family history or ancestry? [New]
Yes, I have used census data
Yes, I have used census data from an ancestry website
No, I haven’t used census data for this purpose
Other [Specify]
Contact preference
ASK ALL:
Media1. How often do you get news from… [New]
Television via cable, streaming (e.g., Netflix, Hulu), satellite, or antenna
Radio
Print Publications
Social media sites such as Facebook, Twitter, or Instagram, NextDoor
Online websites, publications, articles
Podcasts
Family and friends
Members from my community/neighborhood
Chat groups in applications such as WhatsApp, Telegram and Signal
Never
Rarely
Sometimes
Often
Media2. Below is a list of different sources people get information from. Do you remember hearing about the 2020 Census from any of these sources? Select all that apply [New]
Television via cable, streaming (e.g., Netflix, Hulu), satellite, or antenna
Radio
Print Publications
Social media sites such as Facebook, Twitter, or Instagram, NextDoor
Online websites, publications, articles
Family and friends
Leaders from community organizations, such as churches and schools
State or local representatives
Mail from government
Other [specify]
IF MEDIA2 SELECTIONS > 1
Media3. Below are the information sources you selected. Please rank these sources in order of how much you trust each one of them. For example, a score of 1 means you believe it is the most trustworthy source on the list. [Repeat selections from Media2 If they selected one or more only] [New]
Mis4. When it comes to getting information about current events and important issues in the United States and around the world, do you think the spread of misinformation is a major problem, a minor problem or not a problem at all? Select only one answer. [I-poll. Survey by Pearson Institute. Conducted by AP-NORC Center for Public Affairs Research 09/09/2021-09/13/2021]
Major problem
Minor problem
Not a problem at all
Logic:
Only one response permitted
If QORDER = C1 then show written order of answer choices.
If QORDER = C2 then show reversed order of answer choices.
Mis5. How often do you personally encounter misinformation? [New]
Often
Sometimes
Rarely
Never
Mis6. Where do you most often encounter misinformation? [New]
Friends or family
Newspapers
Television
Radio
Social Media sites such as Facebook, Twitter, or Instagram, NextDoor
Online websites
Other [Please specify]
Mis7. How often, if at all, do you verify the accuracy of information that you think might be false? [New]
Often
Sometimes
Rarely
Never
Mis8. Suppose you wanted to find out if some information that you encountered is true. Would you look to any of the following sources for information, or not? [Adapted from the 2019 World Risk Poll https://wrp.lrfoundation.org.uk/LRF_WorldRiskReport_Book.pdf]
Friends or family
Medical professionals, such as your local doctor or nurse
Newspapers, television or radio
The internet/social media
Information provided by a federal agency, such as a website
A famous person you like
Local religious leaders
Other [Please specify]
To what extent are you in favor of or against combining these data sources? [Frames Survey]
Strongly in favor of it
Somewhat in favor of it
Neither in favor nor against it
Somewhat against it
Strongly against it
Individuals provide information to federal, state, and local agencies when applying for government programs, filing taxes, or completing surveys. The Census Bureau is planning to link this information together to produce statistics.
To what extent are you in favor of or against linking information about individuals? [Frames Survey]
Strongly in favor of it
Somewhat in favor of it
Neither in favor nor against it
Somewhat against it
Strongly against it
To what extent are you in favor of or against the Census Bureau obtaining your information from private companies? [Frames Survey]
Strongly in favor of it
Somewhat in favor of it
Neither in favor nor against it
Somewhat against it
Strongly against it
SELFNAT. Were you born in the United States, on the island of Puerto Rico, another U.S. territory, or in another country? [ Adapted from 2020 Tracking Survey]
United States
Puerto Rico
Other U.S. territory
In another country
ParentG. Where were your parents or guardian born? [https://www.pewresearch.org/race-ethnicity/wp-content/uploads/sites/18/2021/07/RE_2021.07.15_State-of-Latinos_TOPLINE.pdf]
Parent1/Parent 2/Guardian 2 [Programmer will tes Qualtrics implementation options]
United States
Puerto Rico
Other U.S. territory
In another country
I do not know
Disability. Does anyone living in your household have any disability that keep them from participating fully in work, school, housework, or other activities? [Robert Wood Johnson Foundation/Harvard School of Public Health/NPR/SSR 2022]
Yes, myself
Yes, myself and someone in my household
Yes, someone in my household
No
Do not know
Page Title: Submit_Page
Section Submit Page (Submit)
Your completion of this survey marks the end of the ASK US Panel. Thank you for your participation in the pilot program.
Please click on the “Submit” button when you are finished.
Completar esta encuesta marca el final del Panel "Preguntamos a Estados Unidos". Gracias por su participación en el programa piloto.
Haga clic en el botón “Enviar” cuando termine.
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/* START PAGE */
Page Title: Thank_You_Page
Section Thank You Page (display_ThankYou)
Thank you for participating in the 2030 Census Planning Survey.
You can validate that this survey is a legitimate federally-approved information collection using the U.S. Office of Management and Budget approval number 0607-1020, expiring on 04/30/2025.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | YAGT |
| File Modified | 0000-00-00 |
| File Created | 2025-08-12 |