Screener revised, 04/04/07
Appendix B: Household Screener
Hello. My name is ________ and I’m calling from Abt Associates. I’m calling on behalf of the US Department of Health and Human Services. We are conducting a national health survey.
1: CONTINUE
2: GATEKEEPER REFUSAL
3: REFUSAL
5: LANGUAGE BARRIER
6: HUDI
23: NOT AVAILABLE DURING STUDY PERIOD
92: GENERAL CALLBACK
93: SPECIFIC CALLBACK
96: R WILL CALL US
97: FINAL OTHER
IF INTRO = 1, GO TO ADULTRINHH
IF INTRO = 2, 3, 6, TERMINATE AND CODE AS A REFUSAL.
IF INTRO = 92, 93, 96, SET A CALLBACK.
IF INTRO = 5, TERMINATE AND CODE AS LANGUAGE BARRIER-SPANISH; or LANGUAGE BARRIER-OTHER
IF INTRO = 23, TERMINATE AND CODE AS USER14.
IF INTRO = 97, TERMINATE AND CODE AS FINAL OTHER (USER97)
ADULTRINHH
Am I speaking with someone who lives in this household who is 18 years of age or older?
YES
NO, ADULT COMES TO PHONE [GO TO INTRO]
3. NO, HOUSEHOLD MEMBER OVER 18 NOT HOME [SCHEDULE APPOINTMENT]
4. NO, NO HOUSEHOLD MEMBER OVER 18 [TERMINATE: USER33]
Those are all the questions that I have. Thank you very much for your time.
5. NOT A RESIDENCE [TERMINATE: USER20]
Thank you very much, but we are only interviewing private residences.
NUM_ADULTS
How many people living in your household are older than 18 years of age?
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Number of Adults
(NUM_ADULTS MUST BE >0.)
NUM_ADOL
How many people living in your household are between the ages of 12 and 18?
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Number of In-range Teenagers
77. DON’T KNOW
99. REFUSED
HELP SCREEN: DEFINITION OF HOUSEHOLD MEMBER
Teen household members include all related and unrelated children between 12 and 18 years old who consider the household their home. They may or may not be home at the time of the call.
Do not include 19-year-olds, or teens who are currently living elsewhere, such as at college, a military base, a correctional facility, and so forth.
IF NUM_ADOL = 77, TERMINATE INTERVIEW. USERCODE USER2.
IF NUM_ADOL = 99, TERMINATE INTERVIEW. CODE AS REFUSAL.
IF NUM_ADOL = 00, TERMINATE AND CODE AS USER35
Those are all the questions that I have. Thank you very much for your time.
SELECTION_NUM / SAMPLED_ADOL_TXT
IF NUM_ADOL=01, THEN SELECTION_NUM=01; GO TO NAME_ADOL.
OTHERWISE, ENUMERATE ADOLESCENTS, IN AGE ORDER FROM OLDEST TO YOUNGEST.
ALLOW UP TO 8 ADOLESCENTS
IN FOLLOWING EXAMPLE, NUM_ADOL=3
ENUMERATION
NUMBER TEXT STRING
OLDEST
SECOND OLDEST
THIRD OLDEST
RANDOMLY SELECT ADOLESCENT AND SET SELECTION_NUM TO ENUMERATION NUMBER AND STORE TEXT STRING IN SAMPLED_ADOL_TXT
GIVE_ADOL_NAME
(IF NUM_ADOL>01, SAY: This is a health survey of teenagers and parents. The computer randomly chose the [SAMPLED_ADOL_TXT] teenager in your household to be in our study. So that I’ll know how to refer to this teenager, can you please give me his or her first name or initials?
YES
NO
REFUSED (SET NAME_ADOL TO “REFUSED” AND CONTINUE)
DON’T KNOW (SET NAME_ADOL TO “REFUSED” AND CONTINUE)
NAME_ADOL
NAME/INITIALS: ___________________________________
MKP1
IF NAME_ADOL = REFUSED OF IF NUM_ADOL=1, DISPLAY“this teenager’s.”
I would like to talk with this teenager’s parent or guardian who lives in this household and knows the most about [(NAME_ADOL)’s / this teenager’s] attitudes and beliefs about sexual activity, abstinence from sex, and abstinence education. We are interested in attitudes on what’s good and bad about sexual activity and health for teens. Would you be that parent or guardian?
01 YES, THAT’S ME [SKIP TO PARENT DETAILED INTERVIEW]
02 NO, NEW PERSON COMES TO PHONE [SKIP TO PARENT DETAILED INTERVIEW]
03 NO, NEW PERSON NOT AVAILABLE [SET CALLBACK]
04 NO PAR/GUARD MOST KNOWLEDGEABLE [GO TO MKP2]
05 BOTH PAR/GUARD MOST KNOWLEDGEABLE [SKIP TO DETAILED INTERVIEW]
96 NO PARENT/GUARDIAN IN HH [TERMINATE; CODE AS USER39]
Those are all the questions that I have. Thank you very much for your time but I need to speak with the parent or guardian of [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager].
97 REFUSED [TERMINATE. CODE AS REFUSAL]
98 DON’T KNOW [GO TO MKP2]
MKP2
That’s okay. We need to talk to the parent or guardian living your household who can answer questions about [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager]. Would that be you?
01 YES, THAT’S ME [SKIP TO DETAILED INTERVIEW]
02 NO, NEW PERSON COMES TO PHONE [SKIP TO DETAILED INTERVIEW]
03 NO, NEW PERSON NOT AVAILABLE [SET CALLBACK]
96 NO PARENT/GUARDIAN IN HH [TERMINATE; CODE AS USER39]
Those are all the questions that I have. Thank you very much for your time but I need to speak with the parent or guardian of [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager].
97 REFUSED [TERMINATE. CODE AS REFUSAL]
98 DON’T KNOW [TERMINATE. CODE AS REFUSAL]
CALLBACK
So that I’ll know how to refer to this person when I call back, can you please give me his or her first name or initials?
NAME OR INITIALS: _______________
File Type | application/msword |
File Title | Thank you for agreeing to talk to me today |
Author | lockeg |
Last Modified By | chaven |
File Modified | 2007-05-09 |
File Created | 2007-05-09 |