LS NORC 4679 summer 1995

1-1 Neighborhood Obnuvrtion fillad out P ,

checkoaa

1 _I Respondent Obrarvdon filled out

I I No contact witb Respondent

HOUSEHOLD ENUMERATION FOLDER (HEF) Survey of Consumer Finances

INTERVIEWER: BE SURE TO COMPLETE NEIGHBORHOOD OBSERVATIONS ON PAGES 11 AND 12

Stick white assignment label in box below NOTE ANY ADDRESS CORRECTION HERE. ATTEMPT TO GET ZIP CODE.

NAME

ADDRESS

JNTRODUCTION

Hello, I’m (YOUR NAME) from the National Opinion Research Center at the University of Chicago. (SHOWID) Recently (R’S NAME) should have received a letter from Alan Greenspan, Chairman of the Federal Reserve Board, telling (him/her) that I would be calling in regard to a very important exxmomic study we are conducting for them.

Was the letter received? (IF LETTER NOT RECEIVED, HAND THEM ONE WITH A BROCHURE)

1. First, I’d like to determine that I am at the correct household. Does (READ NAME FROM ASSIGNMENT LABEL ABOVE) live here?

YES, CORRECT . . . . , . . . . . . . . . . . . 1 (GO TO PAGE 9) NO, R NOT AT THIS ADDRESS . . . . . . 2 (ASK FOR R’s CURRENT ADD-S).

THANK INFORMANT.

1

Survey of Consumer Finances NON-INTERVIEW REPORT

INTERVIEWER: BE SURE TO COMPLETE NEIGHBORHOOD OBSERVATIONS ON PAGES 11 AND 12

CASE ID # I 1_1_1_1 I I I

INT ID # I 1-1-1 -1-1 -1-1

1.

2a.

2b.

2c.

3.

REASON FOR NIR:

REFUSAL TO HEF HEF COMPLETED, QUEX, BREAKOFF RUNLOCATABLE R DECEASED . . .

. . . . . . . . . . . . . . . . . . 1 Q REFUSED . . . . . . . . . 2 .................. 3 .................. 4 .................. 5

LANGUAGEBARRIER ............... . TOO ILL ........................ 7 OTHER ......................... 8 DESCRIBE:

IF REFUSALIBREAKOFF, DESCRIBE REASONS:

LS NORC 4679

5195

FINAL CODE 1-1,;

(GO TO Q 3) (GO TO NEIGHBORHOOD OBSERVATIONS PAGE 11)

I) I (I

WHAT METHODS WERE USED TO CONVERT THE RESPONDENT? CODE ALL THAT APPLY:

REFUSAL LE’ITER SENT ............. 1 ATTEMPT BY PHONE CONVERTER ...... 2 A’I-lEMI’T BY PERSONAL CONVERTER ..................... 3 OFFERED RESP. FEE ................ 4 OTHER ......................... . DESCRIBE:

WHAT TYPE OF REFUSAL WAS THIS?

FIRM REFUSAL, NOT HOSTILE . . . . . . . . . 1 (Co To RESPONDENT OBSERVATIONS, PAGE 13)

HOSTILE REFUSAL . . . . . . . . . . . . . . . . . 2 (GO To RESPONDENT OBSERVATIONS, PAGE 13)

WHAT METHODS WERE USED TO LOCATE THE RESPONDENT? CODE ALL THAT APF’Iay.

CHECK WITH NEIGHBORS ............ 1 POST OFFICE SEARCH ............... 2 CBI SEARCH ...................... 3 TRANSUNION ..................... . VOTER REGISTRATION .............. 5 OTHER ......................... .

.

DESCRIBE NOTE: BE SURE TO COMPLETE RESPONDENT OBSERVATIONS, PAGE 13.

2

AP NORC 4679 Summer, 1995

HOUSEHOLD ENUMERATION FOLDER (HEF) Survey of Consumer Finances

INTERVIEWER: BE SURE TO COMPLETE NEIGHBORHOOD OBSERVATIONS ON PAGES 11 AND 12

Stick white assignment labd in box below or

If this is a caaa you’re l ddii to your assignment as a missed HU, copy the information from original label.

API

SURVEY CASE ID (IF ADDING THIS CASE, INCRBASE ORIGINAL NUMBER BY “IO”)

l-l-l-l-l-l-l

PSU

SE0 PT LJNE BLOCK

LOCAUTY

HU ADDRESS AND DESCRIF’FION

,

NOTE ANY ADDRESS CORRECllON.

INTRODUCTION

Hello, I’m (YOUR NAME) from the National Opinion Research Center at the University of Chicago (SHOW ID). Recently, a letter from our organization was sent to this household indicating that I would be calling regarding an important financial study we are conducting in your area. Did you receive the letter? (IF DID NOT RECEIVE LETTER, HAND THEM ONE WITH AN NORC BROCHURE.)

1. Fit, let me make sure that I have your address described correctly. (READ STREET NUMBER AND NAME, AFT # OR OTHER DESCRIPTION FROM ASSIGNMENT BOX.)

YES, CORRECT . . . . . . . . . . . . . . . . . 1 (GO TO PAGE 9) NO, NOTCORRECT . . . . . . . . . . . . . . 2 (REVIEW SEGMENT PRINTOUT &

RECONCILE.)*

*IF DIFFERENCE CANNOT BE RESOLVED, CALL YOUR FIELD MANAGER BEFORE CONTINUING.

3

Survey of Consumer Finances NON-INTERVIEW REPORT

INTERVIEWER: BE SURE TO COMPLETE NEIGHBORHOOD OBSERVATIONS ON PAGES 11 AND 12

CASE ID# 1-1 _!_I -1-1 _I

INT. ID b’ I I I 1_1_!_1_1_1 _i

1. REASON FOR NTR (FINAL DISP. CODE):

NOTANHU ........................... 1 VACANT ............................. 2

HU INACCESSIBLE ...................... 3 REFUSALTOHEF ....................... 4 HEF COMPLETED, Q REFUSED .............. 5 QUEX.BREAKOFF ....................... 6 NO ANSWER/NEVER HOME ................ 7

LANGUAGE/BARRIER .................... 8 R TOO ILLiHANDICAFPED ................. 9 RUNAVAILABLEFORFIELDPERIOD ......... 10 FAMILY MOVEDiUNLOCATABLE ............ 11 SPECIFY: ............................. 12 OTHER

2a. CODE REASONS THERE IS NO HU AT THIS ADDRESS:

Al? - NORC 4679

5195 *

FINAL CODE ;_j_!

(GO TO NEIGHBORHOOD OBSERVATIONS, PAGE 11) (GO TO 4) (GO TO 3a) (GO TO 3a) (GO TO 3a) (GO TO NEIGHBORHOOD OBSERVATIONS, -PAGE 11)

(GO TO 4) (GO TO 4) (GO TO 4) (GO To 4)

CONDEMNED ....................... : ........ 1 DEMOLISHED ................................ 2 BUSINESS WTI’H NO RESIDENCE ................... 3 NOSUCHADDRESS/NOHU ...................... 4 GROUP QUARTERS ............................ 5

VACATIONCABIN.. ........................... 6 NOT USABLE AS PERMANENT RESIDENCE ........... 7 TRANSIENTUSE(LESS’IHAN 1 MONTH) ............. 8 UNDER CONSTRUCTION ........................ 9 OTHERREASONS ............................. 10 DESCRIBE:

(GOTONEIGHBORHOOD OBSERVATIONS, PAGE 11)

3a. IF REFUSAIfBREAKOFF, DESCRIBE REASONS:

4

AP 3b. WHAT METHODS WERE USED TO CONVERT THE RESPONDENT? CODE ALL THAT APPLY:

R.EFUsALLETrERsENT.. ....................... 1 ATTEMFTBYPHONECONVERTER ................. . ATIEMFI’ BY PERSONAL CONVERTER .............. 3 ATTEMPTBYSUPERVISOR .................... ...4 OFFERED RESP. FEE ........................... 5 OTHER ..................................... 6 DESCRIBE:

3c. WHAT TYPE OF REFUSAL WAS THIS?

FlRMREFUSAL,NOTHOS-ITLE . . . . . . . . . . . . . . . . . . . 1 (GO TO RESPONDENT OBSERVATIONS, PAGE 13)

HOSTILEREFUSAL . . . . . . . . . . . . . . . . . . . . . . . . ...2 (GO TO RESPONDENT OBSERVATIONS, PAGE 13)

4. HU lNACCESSIBLE/FAM?ILY MOVED/R UNAVAILABLE FOR FIELD PERIOD, ETC.

WHAT STEPS WERE USED TO COMPLETE THE CASE? DESCRIBE: .

NOTE: GO TO OBSERVATION PAGE

SUPERVISOR’S APPROVAL DATE:

5

THE GOAL IS A COMPLETED SAMPLE UPDATE REPORT FOR EACH HEF. AN “HU” (HOUSINQ UNTT) MUST HAVE SEPARATE LIVING QUARTERS AND A SEPARATE ENTRANCE. CHECK YOUR ARBA PROBABILITY MANUAL FOR MORE DETAILS OR CALL YOUR FM.

A.

B.

IF THERE ARE NO DELETIONS, CORRECTIONS, OR MISSED HUs AT THIS ADDRESS, CHBCK BOX IN SECTION “A” ON OPPOSITE PAGE AND YOU ARE DONE! ,

IF THIS HU IS NOT REALLY AN HU. GO TO ‘B” ON THE OPPOSITE PAGE AND COMPLETE THE “DELETE LINE” SECTION.

C.

D.

IF THE ADDRESS AND DESCRIPTION ARE NOT CORRECT, ff0 TO “C” ON THE OPPOSITE PAGE AND COMPLETE THE “CHANGE ADDRESS SECTION.

CHECK FOR MISSED HUs BY FOLLOWING THE EUSTRUCT’IONS BELOW:

ME!SAGECODE!S

MESSAGE CODE ON LABEL

lNSTRUCTIONS PRINTED ON LABEL WHAT TO DO TYPEOFUNrl-

CHECK FOR MISSED HUs AT THE 1. LOOK FOR HUa AT THB ASSIGNED SlNQLE FAMILY ADDRESS ABOVE. CHECK FOR MISSED ADDRESS WHICH ARB NOT ON THE UNTT HUs BETWEEN STREET ADDRESS SEGMBNT PRINTOUT. ABOVE AND STREET ADDRESS BELOW.

2. LOOK FOR MISSBD HUa BBTWBBN THBTWO ADDRESSES LISTBD ON THE LABEL. FOLLOW THB SAMB PATH THE LISTBR DID TO DEFINE “BBIWBBN.”

3. ADD ANY MISSBD HUB TO PART “D” OF THE SAMPLE RE#IRT. PLBASE NOTE SPECIAL RULES BELOW.

CHECK FOR MISSED HUs AT THIS AFL”. 1.LOOKFORMISSBDHUaWITHINTHE FmST-LISTED NUMBER. CHECK FOR HUs AT THIS INDIVIDUAL AFT. UNIT IN A MULTI- STREET ADDRESS NOT LISTED ON THE UNITSTRucrURE. SEGMENT PRINTOUT 2. OBSERVE AND USE INFORMANTS TO FIND IF

ANY HUs WERE MISSED AT THIS SAMB STREET ADDRESS.

3. ADD MISSED HUa TO PART “D” OF SAMPLE RBPORT

3 CHECK FOR MISSED HUE AT THIS 1.LOOKFORMISSEDHUsWITHINTHE ANY LISTED UNIT APARTMENT INDIVIDUAL APARTMENT EXCEPT THE 1ST

ORLASTLISTED ~.ADDANYMISSEDHUITOPARTDOFTHE

SAMPLE REPORT IN A MULTI-UNIT STRUCTURE.

CHECK FOR MISSED HUs AT THIS 1. LOOK FOR MISSED HUB WTTHIN THIS THE LAST LISTED APARTMENT NUMBER. CHECK FOR APARTMENT UNITINAMULTI- MISSED HUs BETWEEN THIS STREET UNTFSTRUCTURE. ADDRESS AND THE ADDRESS BELOW. 2. LOOK FOR MISSED HUa BElWEEN THE TWO

ADDRESSES LISTED ON THE LABBL. FOLLOW THBSAMEPATHTHBLISTERDIDTODBFBUE “BEIWEEN”

3. ADD ANY MISSED HUs TO PART “D” OF THE SAMPLE REPORT

k

1

IF YOU FIND I, 2, OR 3 MISSED HOUSING UNITS (HUs):

i ; I

6

SAMPLE REPORT NORC 4679

SUMMER, 1995 STICK DUPLICATE ASSIQNIKENT LABEL I.N BOX BELOW.

OR IF THIS IS A CASE YOU’RE ADDINO TO YOUR ASSIONMENT AS A MISSED HU. COPY THE INFORMATION FROM ORICHNAL LABEL.

SURVEY 4679 SESAMECASEIDASO t

CHECK BOX AT RIGHT IF THERE ARE NO MISSED HUs AND NO SAMPLE DELEITONS OR ADDRESS CHANGES. 1-1

UNE# FROM PRINTOUT RRASON FOR DELEI’ION

DELEI’E HUs NOT FIrrING DEFINITION OR DEMOLISHED.

CHANGES TO LINE NUMBER ADDRESS OR DESCRIPTION ADDRESS 20 (CHARACI’ERS ONLY) DESCRIFI’ION (27 CHARA- ONLY)

OF HU CORRECT WAS

ADDRESS ON HEF LABEL. r

SHOULD BE

b C d e f P

FOLLOW INSTRUCTIONS ON LABEL TO CHECK FOR MISSED HUS. IF 1-3 DO NEW HEF FOR EACH ONE. ADD 10 TOID.IF4OR MORE CALL LINDA (3 14) 822-I 141. LEE (314) 872- 7368 OR MYRNA (406) 622-5665.

ADDRESS OF DES-ON

7

Pane bv naee soecifications for the HEP

Page 1

Page 2

Page 3

Page 4-5

Page 6-7

Pages 9, 10

Pages 11. 12

Page 13

USE THIS PAGE FOR LIST SAMPLE CASES ONLY. If this is an area probability case, remove this Page. Attach the assignment label with the R’s name and address to the box at the top of the page. Read the introduction and ask question one. If the respondent agrees to the interview, turn to page 12. BE SURE NEIGHBORHOOD OBSERVATIONS, PAGE 9 IS COMPLEI’ED.

.

USE THIS PAGE FOR v CASES ONLY. If this is an area probability case, remove this page. This is the non-interview report for list sample cases. Complete this page after consulting your FM/FS. BE SURE NEIGHBORHOOD OBSERVATIONS, PAGE 9 IS COMPLETED.

.

USE THIS PAGE FOR AREA PROBABILITY CASES ONLY. If this is a list sample case, remove this page. Attach the sample label to the box of the page. If this is an added missed HU case, copy the information from the original label and increase the original ID number by 10. Read the introduction and ask question one. If the respondent agrees to the interview, turn to page 12. BE SURE NEIGHBORHOOD OBSERVATIONS, PAGE 9 IS COMPLETED.

USE THIS PAGE FOR AREA PROBABILITY CASES ONLY. If this is a list sample case., remove this page. This is the non-interview report for area probabiity cases. Complete this page after consulting your FMLFS. BE SURE NEIGHBORHOOD OBSERVATIONS, PAGE 9 IS COMPLETED.

USE THESE PAGES FOR AREA PROBABILITY CASES ONLY. If this is a list sample case, remove these pages. Page 6 gives instructions on how to complete page 7.

This is the household enumeration list for & cases. Read question 2 and list the members of the household. Use the first name or relationship to the HBF respondent. Follow the “Whom to interview” instruction box to d&ermine the survey respondent. Begin interview or establish an appointment for the interview.

.

NEIGHBORHOOD OBSERVATIONS. This is an informational page for && cases. Circle the most accurate answer to each question. Neighborhood refers to the general properties around the R’s home. This page should be completed after your fit visit to the respondent’s home.

7

HEF RESPONDENT OBSERVATIONS. This is an informational page for & cases where there is any contact with a potential Respondent. Circle the most accurate answer to each question. This page should be completed at& your first in-person contact with the Respondent.

Page 14 This validation form is completed AFTER the interview is conducted. Explain to R that this information is kept separately from the questionnaire and is only used to verify the intetview. BE SURE RESPONDENT OBSERVATIONS, PAGE 11 IS COMPLEIED.

Pages 15, 16 This is the Record of Calls. Assign the appropriate code after each contact or attempt made on this case.

8

Only one member of your household will be eligible for this survey. InOrdertoeelectdr~person,IneedtolistthefirstnrunesOf9L1the people who live here.

2a. Please tell me the first name of everyone who usually lives in this household, starting with yourself. (ENTER NAMES IN COLUMN A BELOW) ;

2b. What is (FIRST NAME)% relationship to you? (TRY TO LEARN WHICH COUPLES ARE MARRIED/LIVING TOGETHER) (CODE IN COLUMN B BELOW)

2c. (CODE SEX IN COLUMN C BELOW. ASK IF NOT OBVIOUS.)

2d. How old was (FIRST NAME) on (his/her) last birthday? (CODE IN COLUMN D BELOW)

(A) @I (C) @I 03 0 (G) First Name Relationship to HEF Sex Age Owlleri Reference DesigMkd

Respondent Lessor Couple Respondent

1. HEF Respondent

2.

3.

4.

5.

6.

7.

8.

9.

10.

RULES FOR SELECTING DESIGNATED RESPONDENT

Sl. IFNOTLS:CHECKBOX l_j,ANDGOTOS2

LS CASES ONLY

SlA. IF Two NAMES ON LABEL, AND BOTH MEMBERS OF COUPLE LMNG THERE: CHECK BOX f _ 1, MARK ‘C’ BY BOTH MEMBERS OF COUPLE JN COLUMN F AND GO TO S9

SIB. IFTWONAMESARE LABEL AND COUPLE ARE NO LONGER MARRIED/LIVING TOGETHER: CHECK BOX i _I, M% ‘R’ BY THIS PERSON IN COLUMN G, CONTACT FM, AND GO To SlO

SlC. IF THE ONE PERSON ON LABEL IS MARRIED/LIVING WITH PARTNER: MARK ‘C’ BY BOTH MEMBERS OF COUPLE IN COLUMN F, CHECK BOX 1-1, AND GO TO S9

SlD. IF THE ONE PERSON ON LABEL IS SINGLE: CHECK BOX 1-1, MARK ‘R’ BY THIS PERSON IN COLUMN G AND GO TO SlO

SlE. ALL OTHER LIST CASES : CHECK BOX 1 _f , CONTACT FM, AND STOP: FILL OUT RO (HEF Respondent Observations)

AREA-PROBABILITY CASES ONLY:

S2. IF ONLY ONE PERSON OVER AGE 18: CHECK BOX I_,, ’ MARK ‘R’ BY THIS PERSON IN COLUMN G, AND GO TO SlO

9

!a.

s4.

SS.

s9.

SlO.

Sll.

Sl2.

IF ONLY ONE (MARRIED/PARTNER) COUPLE. NO ONE ELSE OR ALL OTHER UNDER AGE 18: CHECK BOX 1-1, MARK ‘c’ BY BOTH MEMBERS OF COUPLE IN COLUMN F, AND GO TO S9

ASK: Who owns or leases this residence? CHECK BOX 1 _I, MARK \krITH AN ‘x’ ALL LINES THAT APPLY IN COLUMN E, AND GG TO S5

Ss. IF NO ONE THERE OWNS OR LEASES: CHECK BOX 1-1, MARK ‘Y’ IN COLUMN E BY ALL PERSONS AGED 18 OR OLDER, AND GO TO S8 1

S6. IF ONLY ONE COUPLE OWNS/LEASES: MARK ‘C’ BY BOTH MEMBERS OF COUPLE IN COLUMN F, CHECK BOX 1 _I, ANDGOTOS9 ,

S7. IF ONLY ONE INDIVIDUAL OWNS/LEASES: CHECK BOX ; -1, MARK l R’ BY THIS PERSON IN COLUMN G, AND GO TO SlO

IF NO ONE AT LEAST AGE 18 OR MORE: CHECK BOX 1-1, AND GG TG SllA

SSA. WHICH PERSON MARKED IN COLUMN E IS CLOSEST TG AGE 45 (IF MORE THAN ONE, CHOOSE ONE WITH BIRTHDAY CLOSEST TO JUNE 30)?: CHECK BOX 1 -1, CIRCLE THE ‘X/Y’ BY THAT PERSON, AND GO TO S8B

S8B. IF SELECTED PERSON CLOSEST TO 45, MARK ‘C’ BY BOTH MEMBERS OF COUPLE IN COLUMN F, CHECK BOX ; _I, ANDGOTOS9

SBC. IF SELECTED PERSON CLOSEST TO 45 IS NOT MARRIED/PARTNER CHECK BOX 1-1, MARK ‘R’ IN COLUM?! G BY THIS PERSON, .4ND GO TO SIO

LS AND AREA-PROBABILITY CASES:

BETWEEN MEMBERS OF THE COUPLE MARKED WITH ‘C’ IN COLUMN F, WHO IS FINANCIALLY MOS? KNOWLEDGABLE?: CHECK BOX ’ 1, CIRCLE ‘C’ BY THAT PERSON m COLUMN F, AND GO TO S9A -

S9A. IF THAT PERSON AVAILABLE/WILLING TO DO INTERVIEW - > CHECK BOX I_ 1, MARK R IN COLUMN G BY THAT PERSON AND GO TO Sll

S9B. IF THAT PERSON NOT WILLING TO DO IW, BUT SPOUSE/PARTNER KNOWLEDGABLE AND WILLING: CHECK BOX 1-1, MARK ‘R’ IN COLUMN G BY SPOUSE/PARTNER AND GO TO Sll

%JC. IF NEITHER THAT PERSON NOR SPOUSE/PARTNER WILLING TO DO lW: CHECK BOX 1-1, AND GO TO S9D

S9D. IF R ALLOWS PROXY TO DO INTERVIEW: CHECK BOX 1 _I, MARK ‘R’ IN COLUMN G BY MOST KNOWLEDGABLE PERSON, AND GG TO Sll

S9E. NO PROXY ALLOWED: CHECK BOX 1-1, AND GG To SllA

WILL R DO INTERVIEW OR IS A PROXY AGREEABLE TO R AVAILABLE TO DO THE INTERVIEW?: CHECK SINGLE BOX THAT APPLIES:

1-1 R WILL DO INTERVIEW --> GO TO Sll 1 _I R NOT AVAILABLE NOW -> MAKE AI’PGINTMENT, REQUEST PHONE NUMBER AND STOP: FILL

OUT RO (HEF Respondent Observations) 1-1 PROXY WILL DO INTERVIEW -> GO TO Sll 1,: NEITHER OF THE ABOVE --> GG TO SllA

(.R’ MARKED IN COLUMN G) PROCEED TO (INTERVIEWIREOUEST PHONE NUMBER AND SCHEDULE INTERVIEW) WITH DESIGNATED R OR PROXY. GO TO S12.

SllA. OTHERWISE: COMPLETE NIR FORM. GO TO S12

FILL OUT RO (HEF RESPONDENT OBSERVATIONS)!

10

NEIGHBORaOOD OBSERVATIONS IN ElEF (F’ILLED OUT AT TIME OF FIRST CALL)

NO 1. TYPE OF STRUCTURE IN WHICH R LIVES: (CODE THE FIRST THAT AFPLIES)

DIDNOTSEER’SHOME ........................... 00 (SKIP TO RESPONDENT OBSERVATIONS, PAGE 13)

TRAILER, MOBILE HOME. .......................... 01 DETACHED SINGLE-FAMILY HOME ................... 02 BUILDINGWlTH2-9UNITS ......................... 03 BUILDINGWITH 10-49UNlTS ........................ 04 BUILDINGWITH50ORMOREUNITS.. ................. 05 APARTMENT IN MOSTLY COMMERCIAL STRUCTURE ...... 06 OTHER ........................................ 07 (SPECIFY)

NO 2. DOES THE BUILDING/PROPERTY CONTAINING THE HU HAVE ANY OF THE FOLLOWING? (CODE ALL THAT APPLY AND FOLLOW SKIP FOR FIRST APPLICABLE RESPONSE).

1 . . . . . . . . . . . . . . . . . . . . . I DOORMAN .................................... 1 GUARD HOUSE ................................. 2 OTHERGATEKEEPER ............................. 3

-

LOCKEDLOBBY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 LOCKEDGATE.................................. 5 NO TRESPASSING SIGN . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 NONEOFTHEABOVE. . . . . . . . . . . . . . . . . . . . . . . . . . ...7 I GO TO NO 4.

-

GO TO NO 3.

NO 3. DOES THE (DOORMAN/GUARD/GA TEKEEPER) REQUIRE PERMISSION FROM SOMEONE IN R’S HU TO ALLOW YOU TO MARE CONTACT WITH THE HOUSEHOLD?

YES ......................................... 1 NO .......................................... .

NO 4. CONDITION OF STRUCTURE IN WHICH R IJVES:

GENERALLY CLEAN AND SOUND .................... 1 SOMEPEELJNGPAINTORCRACRSINWALLS.. .......... 2 NEEDS SUBSTANTIAL PAINTING, REFHLING,ORREPAIR ... . DILAPIDATED .................................. 4

NO 5. HOUSING STRUCTURES ON (BLOCWAREA) ARE:

0-2OFEETAPART ................................ 1 21-1OOFEETAPART .............................. 2 OVERlOOFEETAPART ......................... ...3

11

NO 6. THE AREA AROUND R’S HU IS: (CODE ALL THAT AFTLY)

OPEN LAND/FARMS/RANCHES ...................... 01 TRAILERPARK ................................. 02 DETACHED SINGLE-FAMILY HOMES .................. 03 ATTACHED SINGLE-FAMILY HOMES .................. 04 BUILDINGSWITH2-9UNITS ......................... 05 BUILDINGS WITH lo-49 UNITS ....................... 06 BUILDINGSWITH50ORMOREUNITS ................. 07 GOLFCOURSE .................................. 08 PARKORCEMETERY ............................. 09 COMMERCIAL SI’RU CTURES ...................... ..lO VACANT BUILDINGS ............................. 11 SCHOOL OR OTHER GOV’T BUILDING ................. 12 OTHER ............................... ..** .... 13 (SPECIFY)

NO 7. BUILDINGS IN THE IMMEDIATE NEIGHBORHOOD ARE:

NO

NO 1

ALL OR ALMOST ALL BLACK/AFRICAN-AMERICAN ....... 1 ALLORALMOSTALLHISPANIC .............. . ...... 2 ALLORALMOSTALLNON-HISPANICWHITE ............ 3 MIXED BLACK/AFRICAN-AMERICAN AND HISPANIC ....... 4 MIXED BLACK/AFRICAN-AMERICAN AND NON-HISPANIC- WHITE ............................ 5 MIXED HISPANIC AND NON-HISPANIC WHITE MIXED BLACK/AFRICAN-AMERICAN, HISPANIC’iii ’ ’ ’ ’ ’

.6

NON-HISPANIC WHITE ............................ 7 OTHER MIXED NEIGHBORHOOD ..................... 8

NO 10. GENERALLY, THE AREA AROUND THE R’S HU AFPEARS TO BE:

WEALTHY.. ................................... 1 POOR ........................................ 2 OTHER ....................................... 3

ALLRESIDENTLAL ............................... 1 MOSTLY RESIDENTIAL ............................ 2 ABOUT EQUALLY RESIDENTIAL AND NONRESIDENTIAL .... 3 NONEINVIEW ................................. .

8. GENERAL CONDlTION OF THE EXTERIOR OF BUILDINGS AROUND R’S DWELLING LOOKS:

BE’ITERTHANR’S ............................... 1 ASGOODASR’S ................................ 2 WORSE THAN R’S ................................ 3 NOOTHERBUILDINGSINVIEW ..................... 4

2. NEIGHBORHOOD RESIDENTS SEEM TO BE:

12

INTERlfIEWER OBSERVATION AFTER FXR!3T CONTACT WITH POTENTIAL HEF RESPONDENT

RO 1. THE FIRST PERSONAL CONTACTI’ WITH THE HEF RESPONDENT WAS:

FACE-TO-FACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 BY INTERCOM OR TELEPHONEATHU . . . . . . . . . . . . . . 2 OTHERTEIEPHONE . . . . . . . . . . . . . . . . . . . . . . . . . ...3 GOT’ORO3. OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 (SPECIFY):

I RO 2. RACEiETHNI CITY OF HEF RESPONDENT WAS:

NON-HISPANIC WHITE. ......................... 1 AMERICAN INDIAN; NATIVE AMERICAN; ESKIMO; ALEUT 2 ASIAN; PACIFIC ISLANDER ...................... 3 HISPANIC.. ................................. 4 BLACK, AFRICAN-AMERICAN .................... 5 OTHER .................................... 6 (SPECIFY)

RO 3. DID THE HEF RESPONDENT ASK ANY OF THE FOLLOWING? (CODE ALL THAT APPLY) 2

WHATISTHEPURPOSEOFTHESURVEY ............ 1 WHOISTHESPONSOROFTHESURVEY ............. 2 WHY/HOWWASICHOSEN.. ...................... 3 HOWLGNGWILLTHEINTERVIEWTAKE ... . ........ 4 WHOWIIJaSEETHEAN~;FRlVACYQUESkIONS .. .5 CANIGETACOPYOFTHERESULTS ............... 6 ISTHEREANINCENTIVEFORPARTKIPATING ........ 7 OTHER INFORMATIONAL QUESTION OR EXPRESSION OF INTEREST .................................. . (SPECIFY): NONEOFTHEABOVE .......................... 9

R04. DIDTHEHEFREspoNDENTMAIcEANyOFTHEFOLLowINGCOMMENTs3 (CODE ALL THAT APPLY)

I’M TOO BUSY/DON’T HAVE TLME/SURVEY TOO LONG ... 01 I.DON’TLKEDOSURVEYS ...................... 02 I DON’T KNOW ANYTHINGABOUTTHIS ............. 03 I’MNOTTHESORTOFPERSONYOUWANT .......... 04 I’MNOT- .......................... 05 THIS IS TOO PERSONAL ......................... 06 SURVEYAWASTEOFMONEY.. .................. 07 GOVERNMENTHASNOBUSINESSDOINGTHIS ........ 08 GOVERNMENT ALREADYKNowsALLTHIs ......... .09 LErMETHINKABoUTIT ....................... 10 OTHERNEGATIVECOMMENTORDELAY ............ 11 (SPECIFY): NONEOFTHEABOVE .......................... 12

13

NORC 4679 Summer, 1995

VALIDATION FORM

INTERVIEWER NAME:

VI. In case my office wants to verify that I conducted this interview, may I have your full name? Let me confirm the spelling.. .

V2.

v3.

v4.

V5.

V6.

v7.

LAST NAME FIRST NAME MI

May I have your spouse’s/partner’s full name? Let me confirm the spelling.. .

LAST NAME

And the mailing address ASSIGNMENT LABEL)?

FIRSI NAME MI

where vou are presently living is (READ STREET ADDRESS FROM Is that right?

IF V3 IS NOT CORRECT, THEN GET FULL MAILING ADDRESS:

I I _I_ I-l_l_l_l_l STATE ZIPCODE

i

What is your telephone number?

I _Ll_l I _l_l_l-l_l_1_l_l AREA CODE

In whose name is this phone listed?

RESPONDENT’S NAME . . . . . . . . . . . . 1 OTHERNAME . . . . . . . . . . . . . . . . . . 2 SPECIFY

Thinking of all the people you know, either around here or elsewhere, who would be the one person you keep in touch with who would be most likely to always know where you are?

ENTER FULL NAME OF PERSON

.

A. What is (PERSON’S) phonenumber? I f I I-1 I 1 1-I 1 1 I ----_- --me 1

14

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